HomeMy WebLinkAbout09/01/2010 BOH Minutes 1085
Dr. Robert M. Shakar, Jr., Chair called the regular business meeting of the New Hanover County
Board of Health (NHCBH) to order at 8:00 a.m. on Wednesday, September 1, 2010 in the
Thomas Fanning Wood Conference Room of the New Hanover County Health Department
(NHCHD) located at 2029 S. 17th Street, Wilmington, North Carolina.
Members Present:
Virginia W. Adams, PhD
Jonathan Barfield, Jr., County Commissioner
Donald P. Blake
Michael E. Goins, OD
James R. Hlickmon, RPh
Robert E. Lewis
Sandra L. Miles, DDS
Robert M. Shakar, Jr., MD, Chair
C. Benjamin Spradley, Vice-Chair
G. Robert Weedon, DVM, MPH
Members Absent:
Karen L. Valiquett, PE
Others Present:
Regina Abate, Administrative Support Technician, Health Administration
Jennifer Grundy, Social Worker, Child Service Coordination, Personal Health Services
Mary Ellen Connor, Nutritionist, WIC, Personal Health Services
Kristin Neal, Fiscal Support Technician, HIV/STD Prevention Outreach Grant, Support Services
Pam Hatch, Intern, CDC
David E. Rice, Health Director
Eric Ireland, Deputy Health Director
Dianne Harvell, Environmental Health Services Manager
Jean McNeil, Animal Control Services Manager
Kim Roane, Support Services Manager
Regina James, Program Support Supervisor, Support Services
Shirley Lloyd, Administrative Support Technician, Program Support, Support Services
Marilyn Roberts, Recording Secretary
Invocation:
Mr. Hickmon gave the invocation.
Minutes:
The minutes of the August 4, 2010 meeting were approved as submitted.
Recognitions:
Special Recognition
Mr. Rice presented Dr. Adams with framed memorabilia from opening ceremonies of the new
UNCW School of Nursing facility.
Service Awards
Ten (10) Year Service Award
Regina Abate, Administrative Support Technician, Health Administration
Lee Ann Cook, Licensed Practical Nurse, Community Health Services, Personal Health Services
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Fifteen (15) Year Service Award
Jennifer Grundy, Social Worker, Child Service Coordination, Personal Health Services
Leigh Jackson, Environmental Health Specialist, Environmental Health Services
New Employees
Mary Ellen Connor, Nutritionist, WIC, Personal Health Services
Kristin Neal, Fiscal Support Technician, HIV/STD Prevention Outreach Grant, Support Services
Pam Hatch, Intern, CDC
Departmental Focal: “Perinatal Region V Lactation Training Center”
Ms. Norma Escobar, Program Coordinator, WIC, Personal Health Services presented a power
point presentation entitled “Perinatal Region V Lactation Training Center”. Highlights of the
presentation included:
Regional WIC Lactation Training Centers: Making a Difference for WIC Families
Perinatal Region V
Bladen, Brunswick, Columbus, Cumberland, Harnett, Hoke, Montgomery, Moore, New Hanover, Pender,
Richmond, Robeson, Sampson, Scotland
Purpose
• To assure public health agency staff funded by WIC and other health professionals serving the WIC
eligible population have routine and ready access to accurate, standardized, evidence-based
lactation management training and continuing education.
• To provide initial core training for newly hired WIC breastfeeding peer counselors. • Provide continuing education for breastfeeding peer counselor managers, public health agency
staff and other medical professionals serving the WIC population in the region.
History
• RFA came out in December 2009
• 17 letters of support
• 11 out of 14 agencies sent letters of support
• Grant awarded March 2010
• June 1 was start date
Services
• Provide in-person breastfeeding peer counselor core training using state approved, standardized
curriculum for newly hired breastfeeding peer counselors
• Provide in-person training using state approved, standardized curriculum for newly hired
breastfeeding peer counselor program managers
• Provide continuing education in-person or via webinar training using state approved, standardized
curriculum on a quarterly basis for breastfeeding peer counselor program managers
• Provide in-service training and continuing education sessions in lactation that meets the needs of
public health agency staff and other medical profesionals serving WIC participants using state
approved curriculum
Accomplishments to date
• Observed a core training in Greenville (July)
• Dates set for core training in Elizabethtown for Sept 29-Oct 1 and Oct 11-3
• First quarterly training set for November 4
• Continuing Education Event “Panning for Liquid Gold” with Diana West set for September 18th at
NHRMC
• Contacted local pediatric offices, MCCs, CSCs and residence program at Coastal OB/GYN to offer
services
• Designed a survey monkey to assess continuing education needs for the Region
• Provided technical assistance in writing breastfeeding-mini grants to two agencies (Bladen and
Scotland)
We are “Making a Difference for WIC Families”.
After short discussion and question/answer session, Board of Health members thanked Ms.
Escobar for the presentation.
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Monthly Financial Report – June & July 2010 (Including Grant Status Report)
Ms. Roane presented the June Revenue and Expenditure Summary Report that reflects an
earned revenue total of $9,745,390 with a remaining revenue budget of ($429,303) and an
expenditure budget total of $14,759,951 with a remaining budget of $733,876.
Ms. Roane briefly summarized that at last meeting there would be a month thirteenth (13); well
this is month 13 performance and we actually ended the year at 104.61% and this is fabulous and
last year same point and time, we had a really strong performance also. On the expenditure side,
we ended at 95.26% of our budget; very comparable to last year at the same point in time and we
have expended 81.17% of our county appropriations. Question from board regarding monies
staying within the health department rather than going into the county; have not mentioned again
until now but there are two “little” pockets of money that we have been allowed to carry forward
and have been doing this for the last several years after negotiations with the County budget
manager; one of these is the Medicaid maximization funds that we receive and that are in excess
of what we have budgeted for the year and we try to be as conservative as possible have been
depositing in a savings account that we call an escrow account and right now with the deposit last
week, it is over a million dollars which is very notable.. We are permitted to expend those in the
programs earned and we do have permission from the state to use funds for a new building and
that is how it was started; I wanted to make sure that I got this message out to you.
The other portion is any of the profits from the Mobile Dental Unit; we also have permission from
the county to have a similar savings account and we have just under $200,000 but if we get to the
point where we have to have a second unit or major maintenance on the existing one, will have
funds for that. There were short discussion/questions. A financial summary is below:
Budgeted Actual %
FY 08-09 FY 08-09
Expenditures:
Salaries & Fringe $12,627,518 $12,403,993
Operating Expenses $ 2,727,587 $ 2,238,013
Capital Outlay 138,722 $ 117,945
Total Expenditures 15,493,827 14,759,951 95.26%
Revenue: $ 9,316,087 $ 9,745,390 104.61%
Net County $$ $ 6,177,740 5,014,561 81.17%
Ms. Roane presented the July Revenue and Expenditure Summary Report that reflects an earned
revenue total of $414,595 with a remaining revenue budget of $8,514,123 and an expenditure
budget total of $560,744 with a remaining budget of $14,774,420.
Ms. Roane briefly summarized that this is month one of the 2011 FY and really just getting into
our new FY; we are at 4.61% of our revenue budget and 3.66% on expenditure side and so
progress is good thus far with our county appropriations at 2.28%; our performance is good
compared to last year. The new Health Information System (HIS) has slowed things down a bit
for us; it has been a bit of a challenge. There were short discussion/questions. A financial
summary is below:
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Budgeted Actual %
FY 08-09 FY 08-09
Expenditures:
Salaries & Fringe $12,915,022 $ 417,140
Operating Expenses $ 2,385,388 $ 139,341
Capital Outlay 34,753 $ 4,263
Total Expenditures 15,335,164 560,744 3.66%
Revenue: $ 8,928,718 $ 414,595 4.61%
Net County $$ $ 6,406,446 146,149 2.28%
Ms. Roane reported the Health Department Grant Status. Totals for grants requested $4,173,299
received $1,736,099 and denied $2,512,200. There are three (6) pending grants: NC Port
Security: Request for transport vehicle for towing ($24,000) enclosed trailer with lock ($6,000),
translation/communication equipment ($6,000) - $36,000; Cape Fear Memorial Foundation: Letter
of Intent – Men’s Preventive Health Services - $55,000; Cape Fear Memorial Foundation: Letter
of Intent – Family Counseling Services - $30,000; NC Division of Public Health WIC mini-grant:
Breastfeeding Promotion & Support - $10,000.
Old Business
New Business
Committee Reports:
Executive Committee
Animal Control Services Advisory Committee – Appointment of Member
This is a request to fill the vacant kennel operator position of the Animal Control Services
Advisory Committee with Ms. Christine Ponton. She currently owns Pet's Pal Inn in Wilmington,
which she and her husband opened in 2003. The kennel is one of a few in the area approved for
rabies confinement of animals by the county.
She brings with her many years of knowledgeable animal expertise in a variety of areas. She will
be a welcome addition to the Committee.
Motion: Mr. Barfield moved and Dr. Goins seconded. Dr. Shakar moved for the Board of Health
to accept and approve the appointment of Ms. Christine Ponton to fill the vacant kennel operator
position on the Animal Control Services Advisory Committee. Upon vote, THE MOTION
CARRIED UNANIMOUSLY.
Grant Application - North Carolina Department of Health and Human Services Division of
Public Health Asthma Program - Health Programs Administration - $15,000
The North Carolina Enhancing Local Asthma Efforts (ELAE) program seeks to reduce the burden
of asthma. Funding will be used to promote a public awareness campaign emphasizing the
importance of people with asthma receiving the annual flu vaccine. Additionally, the ELAE
program will implement the Air Quality Flag initiative to increase the community's awareness of
the Air Quality Index and air quality forecasts. Lastly, an educational curriculum will be
implemented in area day care centers to educate day care providers on the basics of asthma and
how to prevent children from having asthma attacks. These programs will be implemented to
enhance the local asthma efforts in New Hanover County.
No new county positions will be created as a result of this action. No matching county funds are
required as a part of this action. Application due date is September 8, 2010.
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Motion: Mr. Lewis moved and Dr. Adams seconded. Dr. Shakar moved for the Board of Health
to accept and approve submission of year two continuation application to the Asthma Grant
Program for $15,000 to promote a public education campaign, air quality initiatives, and day care
education in New Hanover County. Upon vote, THE MOTION CARRIED UNANIMOUSLY.
Request for Approval to Submit Request to New Hanover County Finance Director for
Write Off of $18,944 in Accounts Receivable Bad Debts for FY 09-10
A requirement of the State of North Carolina for County Health Departments receiving Family
Planning funds is to conduct an annual write-off of bad debts. Accounts aged over the past fiscal
year are included in the annual bad debt write-off. This is required for continuation of state
funding and is also an accreditation requirement. We may still receive collections against these
accounts, either via payment from the patient or via the North Carolina Debt Set-Off Program.
Motion: Dr. Adams moved and Dr. Miles seconded. Dr. Shakar moved for the Board of Health’s
to accept and approve the recommendation to write off $18,944 in bad debts for FY 09-10. Upon
vote, THE MOTION CARRIED UNANIMOUSLY.
Other Business
Board of Health – Comments
Mr. Spradley reminded board of “Hurricane Earl” that may be approaching our area and
encouraged “preparedness”.
Dr. Bob Weedon reminded board of the upcoming Rabies Clinic to be held on Saturday,
September 18th at UNCW campus.
Dr. Adams again thanked Mr. Rice for remembering her and invited board members to the UNCW
School of Nursing open house to be held on September 11th.
Mr. Don Blake requested that members of the 2011 Nominating Committee meet with him after
adjournment. Mr. Blake also encouraged board to visit the NHC Library this week end;
photography history will be highlighted.
Health Director
Handouts
• Question/Answer sheet for NC Childhood Immunizations
• Job Performance Appraisal – David E. Rice
• Changes to Fee Policy – F.A.C.T. Revisions
• Animal Control Services Advisory Committee Meeting Minutes – July 28, 2010
• NALBOH News Brief
• NHCHD News Wrap
Reports
Influenza Update
Mr. Rice reported it’s that time of year again and on Saturday, September 18th, we will begin our
annual flu clinic “kick off” to the community. Staff is being asked to park off site beginning
September 20th. There is only one shot this year and we will make arrangements for it to be
made available to Board Members after the October 6th meeting.
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Mobile Dental Unit Update
Mr. Rice reported that the mobile dental unit was sent back to Ohio for service after three years
and $15,000 later has returned maintained and in operation. Mr. Rice expressed that he has had
the opportunity to introduce the mobile dental unit program to the Mid-Ohio Valley Health
Department in West Virginia, the first health department he held position of Health Director. They
hope to duplicate this for the six counties they serve.
Furlough Day on Friday, September 3rd
Mr. Rice reported that we have a mandatory furlough on Friday, September 3rd and will be closed
for the Labor Day week end on Monday, September 6th.
Animal Control Services Updates
Mr. Rice reported that according to state law ordinance revisions, a change in ferret regulations
will be forthcoming. In addition, Dr. Weedon, Dr. Jean McNeil along with himself will be meeting
with local veterinarians this evening because it will be incorporated that it is also their responsibility
to report every bite, not only the responsibility of the physicians.
Men’s Preventive Health Screening
Mr. Rice reported that there will be a men’s prostate screening held on Saturday, September 11th
from 8:00 – 12:00 noon here at the health department at no charge. Dr. Shakar added that the
volunteer physicians will include: Dr. Whitesides, Dr. Russell, Dr. Janosko and Dr. Mynatt.
Hurricane Earl
Mr. Rice reported that yesterday as well as preparing for Hurricane Earl, there was a day-long
exercise held at Emergency Operations Center (EOC) for the Brunswick Nuclear Power Plant;
Health Department Management Team participated by taking shifts at the EOC at the
Government Center; we did very well; but it is good to go through these exercises to stay
informed; as a result we will be updating our Emergency Response Plan.
Other Comments
Mr. Blake inquired about the status of mosquito spraying. Environmental Health Services Vector
Control is short staffed; maps on the website as to where they will be spraying.
Adjournment:
Being no further business, Dr. Shakar moved the meeting be adjourned at 8:45 a.m.
____________________________________
Dr. Robert M. Shakar, Jr., Chair
New Hanover County Board of Health
____________________________________
David E. Rice, M.P.H., M.A., Health Director
New Hanover County Health Department
Approved: October 6, 2010