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Home My WebLink About12/04/2002 BOH Agenda Packet - Exhibits e , New Hanover County Health Department Revenue and Expenditure Summaries for October 2002, Cumulative: 33.32% Month 4 of 12 Revenues Cumulative % 33.32% Month Reporl8d Mon4o'12 Oc\-02 ypeof Revenue Budgeted Amount Current Year Revenue Balance, Earned Remainin %, Prior Year Revenue Balance Earned Remalnln % Federal & State e Fees Medicaid Medicaid Max EH Fees HeaKh Fee. Other $ 1,692,429 $ 533,044 $ 1 ,035,386 $ $ 312,900 $ 112,850 $ 1 881 044 278,654 186,389 179,573 6.23% 23.91% 19.54% 0.00% 20.35% 32.43% 15.93'110 Expenditures e Current Year Prior Year Budgeted Expended Balance % :t Budgeted Expended Balance % .~ Amount Amount Remainin '::::': Amount Amount Remainin if' $ 2,570,912 $ 6,560,616 28.15'110' :., $ 8,607,903 $ 2,051 ,340 $6,556,563 23.83'110 $ 532,483 $ 1,393,383 27.65'110 x. $ 1,578,085 $ 397,874 $1,180,211 25.21'110 $ 2606 $ 181140 $ 34,457 $ 91,701 27.31'110 $ 8135139 Summary Budgeted Actual % FY 01-02 FY 01-02 Expendnures: Salaries & Fringe $9,131,528 $2,570,912 Operating Expenses $1,925,866 $532,483 Capital Outlay $183,746 $2,606 Total Expendnures $11,241,140 $3,106,001 27.63% Revenue: $5,367,653 $1,315,600 24.51% e Net County $$ $5,873,487 $1,790,401 30.48% Revenue and Expenditure Summary For the Month of October 2002 '10 . e e NEW HANOVER COUNTY HEALTH DEPARTMENT BOARD OF HEALTH (BOH) APPROVED GRANT APPLICATION STATUS FY 02-03 OiitelBOHF Grant' "c'", Reauested PendlniL R$i:ehi4ld Denllid / NC Health and Wellness Trust Fund-Teen , Tobacco Use Prevention & Cessation Program 11/612002 $100,000 Der vear for 3 years) $100,000 $100,000 Safe Kids Buckle Up Program-NDrth CarDlina , , 101212002 Safe Kids $5,000 $5,000 * Developing Geographic Information Systems (GIS) Capacity In Local Health Department In Eastern North Carollna-Ouke University , Nicholas School ofthe Environment and Earth , Sciences lNSEES\ $18,000 $18,000 = o reDOrt for,SeDtember 2002..:: ::" ~~~ ;,: ;;:;: ;;::: ::: I,~.~:~.~!~' ,~~, mx~r;lJ~r:~~g~.~:.Z.':I~~~::" ....... . . . . . . . . . . . . . . . . . , . .".:'"".".'"'lr..(..a.l:tlVltyto.r~!"N~IY~,,,,~..... ..,.,. :-;:-;':1"""" PROJECT STOP-Prenatal Health Education and Information/Referral Servlces- March of Dimes Community Grant Program (T!1ls served as an Intent to apply for $49,975-the act~alapplication for thla grant wenlthrough In October 2OO2-the amount 6/512002 changed to $50,000) , ,$50,000:::;+$50,000, " .......................................~ ....-',.............."..........".. ::::::::::::::::::::":, 0:.1' VI _ o:le or, a; .,.,-':~ ';C"" .... ..........'........'.....:..:..,.:~.l:t'VIlYlo.pour':M~~, ,~,....:...:..:. ""',",',"', .O'G V ,0fepOrtlor.Apr .' "",' .0aC1lvllylo,reportlor'Marc . .,...,.. ...",. . ". ..", ...'.... .:::~...,...". .... liIIal:tIVltyorSPOrtl0rFebruary2D02, " , ,,' " .",.. .. ,'.,' ..........". .. 9:.t;tlV.~y:..~:t~port;19r:January:2o.o.2;: ':. --::::::-,; . ,," '.": .., :.:.. Diabetes Education, Management and 12/5/2001 Prevention - CFMF $60,000 $30,000 $30,000 I;:'" Youth Tobacco Prevention projecl- RDbert l1n12001 . WODds Johnson Youth Center $11,800 $11,800 Teens Against Tobacco Use (TATU)-Health Action Council of NC $350 $350 Healthv Carolinians- NC DHHS $10,000 $10,000 Family Assessment Coordination- March 9/5/2001 of Dimes $16,500 $16,500 Folic Acid Proiect- March of Dimes $16,618 $3,000 $13,318 Safe Kids Coalition- State Farm"Good Neighbor" $500 $500 TB Elimination and Prevention - CDC, 8/1/2001 NCDHHD, DPH, TB Control Program $10,000 $9,200 $800 Teen Aids Prevention /TAP)- CFMF $45,500 $25,000 $20,500 Diabetes Today - Diabetes Prevention & Control 7/1112001 Unit, NCDHHS $10,000 $10,000 Lose Weight Wilmington - Cape Fear Memorial Foundation $75,000 $75,000 """.",.""..',""""""',,,,'" "'.:. ,,' Tol"ls 5429;268 1$150:000 $122850 .. .S1siH18 34.94% 28.62% 36.37% Pending Grants 2 13% Funded Total Request 7 47% PartiallY Funded 4 27% Denied Total Request 2 13% Number of Grants Applied For 15 100% 33 As of 11/2712002 . NOTE: Notification received since last report. , . NEW HANOVER COUNTY BOARD OF HEALTH 2003 Meeting Dates . January 8, 2003 , . February 5, 2003 . March 5, 2003 . April 2, 2003 . April 10, 2003 - Staff Appreciation Luncheon . May 7,2003 It . J~ne 4, 2003 . July 2, 2003 , , . August 6, 2003 . September 3, 2003 . October 1, 2003 . November &, 2003 . December 3, 2003 . December 11,2002 - Holiday Celebration e 34 ~ e. NEW HANOVER COUNTY BOARD OF HEALTH 2029 SOUTH 11rH STREET WILMINGTON, NC 28401-4946 TELEPHONE (910) 343-6500, FAX (910) 341-4146 E...,.,...._._. , GeJa N. HUDter, RN, FNP, OudnnaD W. EdwiD Link, Jr OJ RPb, Vice-Oaainnaa lIeDry V. Estep, RIIU Marvin E. FreemaD, Sr. CommissioDeJ' Robert & Greer ' WilsoD O'Kelly Jewell, DDS ADoe Braswell Rowe PhIlip P. Smith, Sr" MD MelDdy C. Speek, DVM WUIiam T. SteBer, PF/PUi Edward Weaver, Jr., OD DDvid E. Rice, MPH, MA HealthDIncIor LYDda F. Smith, MPA Assi.rtanl Health Din<ll>>" November 14, 2002 . Senator Patrick Ballantine 1127 Legislative Building Raleigh, N. C. 27601 Dear Senator Ballantine: e The New Hanover County Board of Health (NHCBH) is corresponding with you to express our concerns regarding under funded and unfunded mandates. With our resources becoming more limited during the , last couple of years, we have felt the effects of additional requirements from the state without the resources to support them. The heart of the problem is the unclear relationship between who pays for it program and who makes the rules for it. A state directive that compels local health departments to provide a service, program, or benefit without providing the appropriate monies or a funding source is regarded as an under funded or unfunded mandate. Examples are recent planning efforts for pre-event potassium iodide distribution and pre- event, event response, and mass smallpox vaccination. Several environmental health programs are extremely under funded, including permitted food establishment programs. Fees for Child Services Coordination and Maternity Care Coordination programs have been changed substantially. Additional personal health services programs could be listed as well. NHCBH recognizes that some state mandates are justified because they achieve agreed upon statewide policy goals. However, many, if not most, mandates on New Hanover County Health Department are imposed without our consensus or the resources for implementation. Mandates drain the financial lifeblood from health departments and cripple their ability to adequately deliver the fundamental services required by law. Mandates also compromise our ability to provide discretionary services requested by the local community. Therefore, NHCBH opposes any state or federal actions that limit the ability of local elected officials to make fiscal and public policy decisions for the citizens they represent. e S1J;/J~~~ Gela N. H~;;:';~. FNP Chairman "Your Health - Our Priority" e e e 6) Dennis Harrington <Dennls.Harrlngton@n cmall.net> 11/1812002 08:59 PM To: driee@nhcgov.com cc: leah.devtin@ncmail.net, Joy.Reed@dch.dhhs.ncmail.net, (bee: archive, mediaarch) Subject: Re: NHCBH Letter to stete Legisletors - Dave, Please know that you are singing to the choir. Leah and I are the two boldest advocates for local health departments to receive funding when asked to perform additional functions at the local level. NHCHD like the other 84 LHDs suffer from the same syndrome and that is we at the state level are cut and mandates increase. I assure that Dr. Devlin and I have been dogmatic in our commitment to protect our LHDs from the cuts that have been driven our way from various sources, but times are very hard and as our leaders have said to us, the cut must follow the dollar when we are at bare bones. Take care and know that you are supported by your State Health Director! Dennis H drice@nhcgov.com wrote: >Dennis and Leah, > >I've attached a letter that was signed by the NHCBH Chairman regarding >under funded and unfunded mandates. The letter was the result of a >discussion at its November 6 monthly meeting. >, >(See attached file: Mandates.rtf) >Thanks, > >David E. Rice, Health Director >New Hanover County Health Department >2029 South, 17th Street >Wilmington, NC 28401 >Phone (910)343-6591 Fax (910)341-4146 >drice@nhcgov.com >http://www.nhchd.org > > e e , , e. e e NEW HANOVER COUNTY BOARD OF HEALTH 2029 SOUTH 17TH STREET WILMINGTON, NC 28401-4946 TELEPHONE (910) 343-6500, FAX (910) 341-4146 E..-E...,..'._. Gela N. HUDter"RN, FNP, Cbainn8D W. Edwin Uak, Jr., RPh, Vice-OulirmBD lIe.ry V. Estep, RHU Marvin E. FreemaD, Sr. CommissioDer Robert G. Greer Wilsoa O'Kelly Jewell, DDS Anne Braswell Rowe Philip P. Smith, Sr., MD Melody C. Speek, DVM William T. Steuer, PFlPLS Edward Weaver,Jr., 00 David E. Rice, MPH, MA Health Dinclor Ly.da F. Smilh, MPA Assistant Health Director November 14, 2002 Ted Davis, Jr., Chairman New Hanover County Board Of Commissioners 320 Chestnut Street, Room 305 Wilmington, NC 28401 Dear Mr. Davis: . ' The New Hanover County Board Of Heallh Environmental Health Committee has been through a review of the water conservation regulations enacted this past summer by the Board Of Commissioners. Our objective was to determine if similar standards should be established for private drinking water wells in the unincorporated area of the county. Many years ago, the Board Of Health enacted standards for locating and constructing private wells to assure safe drinking water for residents and to protect our groundwater resources. As a part of this process, we contacted counties in the piedmont area of the state who have been most visibly impacted by drought weather conditions, and state water quality and resources personnel. Charles Stehman, PhD, Regional Hydrologist with the NC Department Of Environment And Natural Resources met with our committee members and Environmental Heallh staff to provide information about local groundwater resources, the impact of drought weather conditions and large quantity usage such as might occur on golf courses and other recreational areas. Dr. Stehman described New Hanover County as having an abundance of groundwater in the Castle Hayne and Pee Dee aquifers. The problem individuals have with the loss of water is a function of their pump and well system usually due to shallow or improper systems. There are a number of options to correct this problem including installing deep wells and adequate pump systems. Over a period of time, the aquifers will recharge, however, more rapidly in normal or wet weather t~an the extremely dry conditions we experienced during the past summer "Your Health - Our Priority" Ted Davis, Jr., Chairman New Hanover County Board of Commissioners November 14, 2002 We did not find any piedmont counties that had implemented water conservation measures for the users of private drinking water wells. They only applied to the users, of municipal or community water systems. Municipal or community water supplies in these locales draw upon reservoirs or surface water as their source of drinking water and are clearly affected by rainfall. Hence, it is our conclusion at this time that enacting a wat~r conservation regulation for private drinking water wells is not necessary to protect the public's health, and we cannot recommend such action to the New Hanover County Board of Commissioners. 1Qou, Gela N. Hun er, RN, FNP, Chairman New Hanover County Board Of HeaRh GNH:fd , , e e e e November 2002 New Hanover County Health Departmerat Acute HIV Infection: New Testing Available in North Carolina Public Health Departments As of November I, 2002, public health departments in North Carolina are able to provide testing for acute HIV infection in addition to the HIV antibody test. Acute HIV infec- tion, characterized by high viral burden and evolving host immunity, is also sometimes characterized by a self- limited mononucleosis-like "acute ret- roviral syndrome" that is rarely diag- nosed. e In a pilot study conducted by the Uni- versity of North Carolina at Chapel Hill Center for AIDS Research and the NC Department of Health and Human Services (Pilcher, McPherson, Leone, et al; July 10, 2002 JAMA), the preva- lence of acute HIV infection in North Carolina's routine HIV fit counseling and testing popu- lation was examined using HIV nucleic add screening of seronegative serum specimens. It was esti- mated that 40 to 60 acute HIV infections may be identified annu- ally through an expanded acute HIV screening program. e These findings may be of great signifi- cance as they relate to the hypothesis that early antiretroviral treatment dur- ing acute infection may augment host immunity and Improve long-term prog- nosis. HIV transmission can occur readily during acute HIV Infection and may account for a disproportionate amount of HIV transmission as com- pared to transmission by individuals in later scages of infection. This transmis- sion during previously undetected in- fection, may be reduced. Those blood samples submitted to the state lab through NC public health de- partments which are found to be anti- body negative, will be tested for HIV RNA by reverse transcriptaSe- polymerase chain reaction (RT-PCR). The precise time at which the PCR can detect HIV RNA after infection is un- known. However the new testing pro- tocol could pick up early infection that occurred from two to six weeks be- fore the test. Those patients who have a negative HIV PCR and HIV Elisa, yet who have had a risk of infection within the past three months will be encouraged to have a follow-up test, and to remain risk free until the follow-up test is done. Patients may be referred to the Health Department for HIV testing by calling 343-6537 for an appointment. For more information, contact Vivian Mears, HIV Program Nurse at 343-6653. The Dilemma of Bats The death of a 13 year old boy in Tennessee from rabies encephali- tis points to the need for continued education of health care providers and the public about ~ the danger of rabies con- tracted from bats. The child found the bat on the ground at a nearby lake and brought it home. There was no report of a bite from the bat which was released the same day. The family had several other pets, none of which had been ill. Not know- ing the danger of rabies transmission from bats, and not suspecting a prob- lem in the absence of a bite, the family Betsy Summey, FNP, 343-6531 did not seek any counseling or treat- ment for the child relative to the ex- posure. Certain prevention guidelines should be followed, especially since bat exp0- sures are often ~e in detail. Unvac- cinated and untrained individuals ' should not handle ,bats unless neces- sary. If necessary. protective glov'lS and safety precautions should be used. Children. in particular. should be cau- tioned regarding their danger. Bats are not appropriate petS and should be excluded from buildings and other structures close to humans. Regard- less of how beneficial bats may be in insect eradication, the trend of erect- ing bat houses should be discouraged. Where there is a known or possi- ble bat exposure, testing of the bat by public health officials can ' facilitate rapid post-exposure pro- phylaxis when indicated, and minimize the unnecessary use of an expensive therapy. Unintentional Drug Overdose. A Public Health Problem in North Carolina The number of deaths from .unin- tentional drug overdoses in North Carolina increased over 110 percent from 1997 to 200 I, according to a stUdy released in September by the NC Department of Health and Hu- man Services. Overdoses of either legal or illicit drugs accounted for more than half of all poisoning-related deaths in the state during that five year period. North Carolina's rate and number of drug overdose deaths is rising faster than the national rate. continued Eighty percent ~f those dying from drug overdoses were white. The average age was 39. Two-thirds of the deaths occurred in men; how- ever, the number of deaths among women increased over 200 percent in the same time period. The highest number of drug-related deaths oc- curred in the most populous coun- ties, but the state's smaller rural counties had, the highest drug-related morcality rates. The number of deaths from her- oin and cocaine was fairly con- sistent from 1997 to 200 I. The increase in total number of deaths was due t~ .. prescription nar- ~ cotics such as morphine, oxy- codone, fentanyl, and metha- done. Methadone clinics do not seem to be the source of metha- done-related fatalities in North Carolina. In response to the information, Car- men Hooker Odum, secretary of the NC Department of Health and Hu- man Services, is appointing a multi- disciplined task force to develop rec- ommendations for new policies and procedures for reducing these kinds of deaths. Think TB Fluoroquinolones May Bea Problem F luoroquinolones are quite active against Mycobacterium tubercu- losis, and while not considered first- line treatment, have an imporcant role in treatment of multidrug resis- tant TB. The widespread use of fluoroquinolones for treatment of community acquired pneumonia (CAP) has some concerned that the diagnosis of TB may be missed or delayed. Dooley and colleagues reported in Qin/co/ Infectious Diseases 2002, Vol. 34, their findings in 33 recent cases of pulmonary TB diagnosed in the United States. T wenty.four (73 per- cent) of these cases were first treated for presumed CAP. Twelve received a fluoroquinolone alone, four received a fluoroquinolone plus another antibiotic and seven received an antibiotic other than a fluoroqui- nolone. The outcomes of 16 of the patients receiving fluoroquinolones with those who did not were stud- ied. The groups were nearly identi- cal in symptoms - cough, fever, night sweats, and weight loss. X-ray findings were similar as well, with 13 percent in each group having cavitary disease. Those patients receiving fluoroqui- ,~ nolones experienced a significant de. ... lay in the diagnosis of tuberculosis compared to the group who did not (median 21 vs. 5 days), and were more frequendy discharged before a, diagnosis of TB was made (63 per- cent) compared to the grou~ ~h.o were treated with other anabloacs (29 percent). Specimens for AFB smear and culture were also ob- tained on both groups in a similar time frame and revealed similar re- sults. The patients' early discharge may have been due to a rapid clinical response to the fluoroquinolone therapy - 83 percent showing signifi. cant improvement within three days. Although the question was not specifically addressed In this study, the concern is that em- piric use of f1uoroquinolones may Impair the diagnosis of TB, especially if specimens for AFB are not collected at presenta- tion. In addition, there is the con- _ cern that yet another drug may be- ,., come resistant to MTB, although it is generally felt that fluoroquinolone resistance would not occur within the usual I 0-14 day course of ther- apy for CAP. Communicable Disease Statistics New Hanover County July 1, 2002 - October 31, 2002 AIDS .......................................11 Campylobacter ........................5 Chlamydia............................155 Gonorrhea .............................47 Hepatitis A ...............................2 Hepatitis B (acute) ..................6 Hepatitis B (carrier).................O Hepatitis C (acute) ..................0 HIV Infectlon..........................17 Legionellosls ...........................0 Llsterlosls................................O Lyme Disease..........................2 Meningitis Pneumococcal......1 Meningococcal Disease..........1 Pertussis ....................................1 Rky. Ml Spotted Fever ..............2 Salmonellosis...........................63 Shiga-Toxin Producing Infection (formerly E. coli 0157:H7).......1 Shigellosis..................................2 Strep, Group A Invasive ............0 Syphilis .......................................3 Toxic Shock Syndrome .............1 Tuberculosis ..............................0 Typhoid (acute) ..........................0 Vancomycin Resistant Enterococcus .........................1 e Building Bridges to the Future 2001-2002 ANNUAL REPORT - - _ NEW HANOVER COUNTY _ OUR VISION The New County Partnership for Children envisions every child entering school with the health, family support, and early education necessary to succeed. Dear Citizens of New Hanover County: The purpose of the New Hanover County Partnership for Children has always been to improve the circum. stances for young children and their families in our community. In spite of only being funded at one-half of the identified need in our county and significant cuts of nearly 25% in an already tight budget, the Partnership contin- ues to focus on family support, health and child care quality for our youngest citizens, knowing that these things impact the entire community socially and economically. The Partnership takes very seriously its role as stewards of public funds. It has had to creatively identify ways to adjust to budget cuts without destroying the significant service to the community. All this has been done in a careful way with effective oversight of all programs and fiscal monitoring as reflected in excellent audits recently done by the NC State Auditors. The Board of Directors also plays an important role in this process through its ac- tive involvement in oversight and decision making. Strategic planning is a key to the successful operation of the Partnership. Using data from a comprehen- sive, county-wide study, goals are set in order to fill gaps in community services to children and at the same time meet state mandated performance standards. One of the highlights of the Partnership's work this year has been the Share the Care campaign. This collaborative effort of private day cares, businesses, community members and the Partnership Board has provided much needed assistance for working families whose young children need child care. This was a response to critical need when child care subsidy money ran out and is a great example of the community support of and involvement with Smart Start. The Partnership works with several other agencies to effectively serve children and their families without duplicating services. Success by Six, a United Way grant program, and the state funded More at Four are two ex- amples of such collaboration. Outside grants and resources are an important aspect of our work. They support our programs above and beyond the required match of state dollars. Helping young children of New Hanover County to reach school healthy, motivated and ready to succeed is what the Partnership for Children is all about. It is the right thing to do for the children and for the community. The Partnership looks forward to continuing to playa major role in that process in the years to come. Smart I Iii!] ii Sincerely, ~~e~ Patricia C. Carriker, Chairperson 2001-2002 EXPENDITURES Evaluation 2% Health Relaled '" Child Care Subsidy 38% TOTAL ALLOCATION $2,604,689.00 CONTRIBUTIONS Cash $432,353.43 In-kind $177 ,915.03 TOTAL $610,268.46 ( I -/ OUR BELIEFS . Every child's health and success is critical. . Parents are a child's first and most important teacher . The strength of a community is reflected in the well-being of the youngest children. . A community is responsible for providing effective support services to young children and their families. Quality ChUd Cue ~ QUALITY BllBA111CHMBIft' (New Hanover County Partnership for Children) Quality Enhancement is a comprehensive project which provides 1,2 and 3 star-rated licensed child care homes and centers with qlportu- nitles, support and Incentives to Improve the quality of early education provided to New Hanover County's young children and fam1lles. Th1S Is done by: 1) support for quality Improvements; 2) tra1n1ng and technical assistance; 3) support for higher education, staff retention and lower staff/child ratios; and 4) professional development. GROWING BBADIRS (New Hanover County Publlc Library) The New Hanover County Library prOvides a range of Library-based activities to New Hanover County children ages birth to five, their par- ents, and child care providers. Growing Readers addresses the cognitive needs of young children for a language-rich environment during their preschool education and aleo answer the demand by child care providers for llteracy activities and resources. Programs Include story time at child care centers, theme book bag llterature collections, workshops for parents and teachers, and llbrary materials for children, parents, and teachers. I1I'1'BIlVB1I'fION/IlICLUSION COLLABOBA'fION _ (United Cerebral Palsy, New Hanover County Community Actlon/Headstart and Southeastern Center for MH/DD/SA) C---"hIS Is a collaborative project providing Inclusion and intervention services for special needs children O-BIn New Hanover County Planned Jervlces encompass observation and Identlflcatlon of children; direct services as well as referral for services for children; training and support for child care providers; tra1n1ng and support services for parents and mental health therapy services to children and their fami- lies. CPR,. PIBST AID 'l'BAINING POR CHILD CAlI PROVJDIRS (American Red Cross, Cape Fear Chapter) ThIs service Is available to all child care providers In New Hanover County In order to enhance the safety of children In child care by reduc- Ing emergency response time and reducing the risk that a fac1llty w1ll be without a CPR/First Aid trained provider due to employee turn- over. Community First Aid and Safety classes are offered at various times and locations convenient to child care providers In New Hanover County and on-site training for the entire staff of child care centers Is avallable. CHILD CJUlIlSUBSIDIIS (New Hanover County Department of Social Services) Parents who work or attend school/tralnlng can receive assistance In paying child care for children under the age of six. WINGS (New Hanover County Partnership for Children) ThIs project Improves the school readiness of children In New Hanover County through one-on-one relationships. A parHlme WINGS Coordinator matches trained volunteers with approximately 120 young children In child care centers for two thirty minute sessions weekly over approximately eight months ut1llzlng a series of educational activities and games to build cognitlve,llngulstlc and motor sk1lls. WAGI$ Salary Supplemen' ProCram (Child Care Services Associa- tion) Child Care WAGE$ program provides education-based salary supplement to low paid teachers, directors, and family child care providers. Family Support ~ LA'fINO SUPPORT SIRVJCIS (New Hanover County Partnership for Children) .,patlno fam1lles are assisted In applying for Health Choice or Health Check as appropriate and accessing services from other human ser- ices agencies In the community The LiaiSon assiSts Latino families In finding llcensed child care situations and provide services to child ~are centers In order to bridge communication gaps. Child care Is aleo provided during Engllsh as a Second Language classes In collabora- tion with the local community college. Additional interpreting and support services are ava1lable to help famllles access services as needed. NAVIGA'l'OR (New Hanover County Health Department) With assistance from a Cape Fear Memorial Foundation grant, Publlc Health Nurses make weekly and biweekly home visits providing SOCI~--,"\ support and resources to build parenting skills to high-risk familles (first time mothers, 100% poverty or below). A Family As99ssment V Coordinator, working at the hospital, makes certain all mothers of newborns are visited and a detalled assessment is conducted on all fami- lles. Appropriate parentlng information Is prOvided and referrals to community programs are made as needed_ '1'BINI'1'Y CHILD CAlI (TrInity United Methodist Church) Trinity Child Care Center of Trlnlty United Methodist Church maintains quality care spaces for the children of teen mothers attending New Hanover High School which Is aqjacent to the church. Transportation to child care Is prOvided to mother and child. Parenting and child development information is avallable for all mothers_ PAlllLY SBRVICBS (New Hanover County Partnership for Children) Programming and/or information focusing on child development, kindergarten readiness, Integrating family llfe into the workplace and the overall health of children is provided. In addition, the Family Services SpeCialist works collaboratlvely with agencies in New Hanover County to advocate for services and systems that are responsive to family and community issues. PABBII'1'8 AS 'l'BACBBBS (Planned Parenthood of the Capital and Coast) Through the Parents as Teachers curriculum, parents and children are offered learning opportunities that encourage the child's physical, language, intellectual and social/emotional growth. ThIs Is accompllshed through individualized home visits, monthly group meetlngs, devel- opmental screenings, modellng and support to parents. Additionally, parent educators work with providers in family child care homes to improve child-teacher Interactlon using the Parents As Teachers approach. IIIA'l'BBIII'l'Y OU'l'BBACB (New Hanover County Health Department) With assistance from a Cape Fear Memorial Foundation grant, Maternity Outreach Workers provide concentrated services to assist high-risk pregnant women and their families with non-cllnical aspects of pregnancy Intensive home visits and fOllOW-Up assure all resources are In place for new mothers to have healthy babies and become good parents. I ~ Health Services - CHILD CAlI NURSING (New Hanover County Health Department) This program provldes ongoing health and safety consultation and technical assistance, health screenings, on-site immunizations, maintenance of health records and assistance In the development of health pollcies. Health and safety education Is provided to child care facilltles and target providers, parents and children through in-service calls, newsletters, conferences, puppet shows, etc. RBAL'l'H CRICK COOBDINA'1'ION (New Hanover County Health Department) The New Hanover County Health Department Increases the participation rate of Medicaid ellgible children in Health Check well check-ups by contacting parents of Medicaid ellgible children to encourage them to take advantage of the Health Check servlce, to assist them with making appointments with the health department, local pediatricians, and other cllnics, and to assist families with their transportation needs to and from appointments. VISION SCBBBNlNGS (Prevent Bllndness of North Carolina) Provldes on-site photorefractive screenings for children ages 2-5 In local child ClIre facUlties, using trained volunteers and certified screeners. '[ I". L.<:! ,\- I t MAKING A DIFFERENCE ~ f \ '0 'AMILY SUPPOB'l'/CBILD CAD 'Without Child Care subsidies, many people would be unable to work and support their families due to the low wages they earn. It is a blessing for children, parents and employers in our community_ " Ann M. Bar1<ley. Community and Support Services Chief, New Hanover County Department of Social Services 431 - - - - - Fa.milies received Intensive family support 2688 - - - - -Famllles received non-intensive family support 724 - - - - - Chlldren received subsidized care 798 - - - - - Parents able to continue employment, trs.lning or educational curriculum due to subsidy BAIlLY IIDUCATlOII QUALITY IIIIPBOVllMBII'l' 'The work that Smart Start does to improve the quality of childcare in our community also increases professionai development opportunities for students in the Education of Young Children Program at the University of North Carolina at Wilmington. We especially appreciate their efforts, because we have too few faculty to do extensive outreach. " Dr. Edna Collins, Education of Young Children Program Coordinator. UNCW Watson School of Education 863 - - - - - Teachers/Directors received trs.lning in early childhood Issues 62 - - - - - Teachers/Directors received early childhood education resulting in college credit 56 - - - - - Teachers/Directors participated in activities designed to increase child care licensure status 288 - - - - -Children impacted by activities designed to increase child care licensure status 420 - - - - -Providers who received trllinlng and/or technical assistance working with children w/special needs 3354 - - - - Chlldren receiving llteracy programs RIlAL'l'B CABII "Thanks to the Partnership-Children and families benefit from improved access to healthcare as a result of the programs and the collaborative relationship with New Hanover Health Network. " ",.-.... Barbara Buechler, Director of Women's and Children's Services, New Hanover Regional Medical Center Je' '--- 217 - - - - - -Children with special needs received therapies or intervention 2706 - - - - - Children received vision screenings 361 - - - - - Children received speech/language and/or developmental screenings 266 - - - - - Children received hearing screenings 3000 - - - - - Chlldren received health education 68% - - - - - The % of Medicaid chlldren 0-5 received preventive health services ACCOUNTABILITY Ii ,j PBlS-The Performance-Based Incentive System is an evaluation mechanism mandated by the North Carolina General Assembly to measure the performance of local Smart Start Partnerships. ,j Evaluation is an essential component of effective decision making. The outputs and outcomes of each service are monitored through a quarterly reporting system and reported to the North Carolina General Assembly. CON'l'BlBUTlORS OVER $800 11 I , GIlAlmJ ~ * 1st Choice Janitorial *PPD Development * AFLAC * Rotary Club of Wilmington, NC *BB&T *Wachovia Corporation *Cape Feer Computers/Cape Fear Webmasters, Inc. *Environments, Inc. r . -l'Jrst Presbyterian Church ear&plan Early Learning Company - Lakeshore Learning Materiels *Thomas Parker o Cape Fear Memorial Foundation: Navigator Program o Wachovla: Healthy Homes: Asthma Management o The Landfall Foundation: Latino Support Services o Cape Fear Community Foundation: Latino Support Services I. New Hanover County Partnership for Children Staff /'~~, \ . ~.- Janet Nelson Executive Director Stephanie Ables Quality Enhancement Consultant Jllimee Blackman Program Manager/Evaluator Beth Bowen Family Services Coordinator Flavia Dudley Business Administrator Krista Eller Quality Enhancement Coordinator Audrey Foster Contracts/Finance Specialist Randall Hardgrove Quallty Enhancement Consultant Barbara Kretschmer Latino Outreach Specialist Tina Parker Director of Finance/Employee Benefits Natalie Pond Quallty Enhancement Consultant Wanda Pugh-Trice Administrative Specialist Alan Swart Latino Outreach Coordinator Sheila Whitmeyer Outreach and Education Coordinator I Every child entering school ready to succeed Board of Directors I Melania. Anderson Royce Angel Dan Ballard Community Representative Community Representative Ballard Therapy Services Rev John Burton Patricia Carriker Tlllldy Carter St. Stephen A.M.E Community Representative Deputy Chief of Pollee City of WIlmington Betty Clark Lori Daley Jim Hall Noah's Ark Community Representative OVer the Rainbow Cheryl Aguilar AI Lerch Jllllet McCumbee Precious Little Angels NECo. Schools NECo. Health lJepa,rtment Chris McNamee Patricia Melvin Lisa Noecker NHCo. Department of Social Services Assistant County Manager PPD Arleta Oldfield David Paynter Nllllcy Pritchett Community Representative NECo. Public LIbrary NHOo. Board of Commission Ricky Strickland Tony Stroud Lorn Sumner AAl Ballard Therapy SerVices Pa.rent Representative Judy Wail Kenneth Weeden Kent Wooten Southeastern Center Ken Weeden Be Associates NHCo. Cooperative Extension - the Cynthia Brown NECo. Community Action-Head Start.~ Nllllcy Cates UCP Center ~ Henry Hawthorne Community Representative Becky McGee -Rudson WUmington TEACCH Sarah Norris Total ChUd Care Robert Smith Cape Pear United Way Rhonda Tighe Cape Pear Communlty College Mary Yopp Park Avenue School "Providing Child Care Assistance for Working Families in Need" For more information about this campaign, or other Smart Start Services: The New Hanover County Partnership for Children Phone: 910-815-3731 Fax: 910-815-3733 www.newhanoverkids_org ~ . ., . e e e STRATEGIC PLANNING PRIORITIES December 4, 2002 Update I. Access to health care (Issues #7.11 & 5) -+ During October 2002, Dr David McDaniel met with the President of the Wilmington TriCounty Dental Society and others in order to design local activities for the upcoming "Give Kids A Smile (GKAS)" Program, GKAS is a national umbrella for dental access activities set to take place across the country in February 2003, with Dentists and Staff providing educational outreach, screening, preventive care and treatment to underserved children, Details will be announced as plans are further developed, -+ ACS held its annual Inner City Rabies Clinic on November 9, 2002, at the Hemingway Center (formerly Five Points), A total of 62 animals were vaccinated in the two hour period, -+ Carolina Access 111111: The Carolina Access 111111 committee for New Hanover/Pender/BrunswicklColumbus/Bladen counties met last week, It is expected that the new nonprofit agency to administer this Medicaid case management program will have its 501 C 3 by 2003, and then with money from the state, will hire a Director and nurse manager The board has been established and will meet monthly for now, -+ Diabetes Coal~ion: Our foot screening at the Senior Center this morning was a success! Our 5 volunteer docs saw 93 people and 186 feet, and it was a real team effort with lots of help from many, -+ Circumcisions: Effective 12/1/02, "optional" newborn circumcisions will not be covered by the NC Medicaid program, Only those that are deemed medically necessary will be covefed, This information will need to be shared with the clients we serve throughout the health department as appfopriate, -+ Health Choice Coalition: Our local Health Choice Coalition has received $40,000 for each of the next 4 years, through the N,C, Pediatric Association, from Robert Woods Johnson Foundation, The money has gone to Smart Start and they have hired a part time Bilingual outreach worker to recruit Latinos for Health Choice, Their Family Service Coordinator will be the Coalition Chair and help organize efforts with us and DSS, Janet McCumbee and Carmen Potter are on the Coalition, -+ Carolina Access 111111: of the Lower Cape Fear met 11/22 to review bylaws, It is now incorporated and will be a 501 C3 organization soon, Subcommittees of the board are to work on the budget, position descriptions, human resource policy, etc, and present these at the January meeting in Columbus County, CA 11/111 will provide Medicaid case management for 5 counties, -+ II. Preventive services & lifestyle-related risks (Issues #12 & 15) -+ Influenza vaccine campaign underway with adequate vaccine available but slow public response, -+ The MCC (Matemity Care Coordination) Program went through MAJOR changes as a direct result of an abrupt change in the Medicaid reimbursement rate for the service, October 1, 2002 marked the effective date for implementation of the changes, The WHC team worked diligently to process and implement the changes while gathefing data throughout the transition, It was our intent to document the pros and cons of the changes and relate them to their feasibility/practical~y when applied to feallife, As of November 4, 2002 the rates improved . dramatically - based on our input and input from the Board of Health (letter submitted as a result of the report of the changes and our anticipation of revenue losses). The rate went from $12 per unit of service to $29,30 per unit of service, This will dramatically improve the ability to maintain this valuable preventive service for New Hanover County residents, It has also demonstrated the Dositive att~udes, resilience, hard work and dedication of the maternal health staff. 1 ~ . .' -+ HIV Counseling and Testing: New HIV Counseling and Testing guidelines were effective Nov 1 Staff trrained to conduct HIV Counseling and testing have been notified of the changes. -+ Influenza Vaccine: Response to influenza vaccine has been slower than usual, even though there are adequate supplies of vaccine. Off-site injections given to county employees. -+ HIV/STD Surveillance: N.C. and New Hanover County HIV/STD surveillance report released for January 1- September 30, 2002. A review of the county and state data supports the public health concerns 'about health disparities by race. In New Hanover County, chlamydia reports have increased while gonorrhea and syphilis cases have decreased compared to previous 2 years. HIV and AIDS reports are slightly less than last year, but increased over reports for year 2000. -+ III. Communication, education & marketing (promotion> (Issue #1 & 4 in Dart) . -+ ACS held its second annual Public Health Conference for area veterinarians and .their staff. Nineteen people came from the community for the evening meeting, which was very successful in educating the participants about our duties and responsibilities. Most requested that we continue to host the conference each year in the evaluations they completed. -+ ACS sponsored a county-wide fund-raiser by adopting "Peanut" the Floppy Puppy. A total of $830 was added to the trust fund for future animal needs. -+ ACS staff participated in the City of Wilmington's Fit for Fun 'Woof, Wiggle, and Waddle Day" held on October 11, 2002, to educate and entertain their youth. -+ On November 5th, our Health Check coordinator hosted a regional meeting of coordinators and state consultants to get state updates and network. , -+ Health Choice / Health Check: Carmen Potter was interviewed on Channel 5 (local public TV) last week about Health Choice and Health Check. She will receive a copy of the tape. -+ Veterinarian Conference: ACS held its second annual Public Health Conference on October 24, 2002. 19 attended. -+ ACS Fund Raiser' Animal Control Services would like to extend sincere thanks and appreciation to all HD staff who supported us in our recent fund-raiser/adoption process. We have solcj a grand total of 83 "Peanut" puppies, which translates into $830 dollars into our trust fundi I Thank you for all your support!!! -+ Annual and Quarterly Reports: The NHCHD Annual Report is scheduled to be completed by December 1. Articles for the NHCHD Quarterly Report are due to Elisabeth Constandy by November 15. The next quarterly report articles will be due 0(1 February 15, 2003. -+ Diabetes Coalition: Diabetes Self-Management Classes;November 5, 12, 19, 26 - 3 to 5pm at Cape Fear Community College; $15 materials. Phone 251-8111 to register Foot Screening and Health Fair; November 15 - 9am to 12 noon at Senior Center Phone 343-6758 for info -+ Alcoholic Beverage Venders Group: Food Safety Team staff recently met with a local professional group who operate establishments specializing in the sale of alcoholic beverages. The purpose of participation was to answer questions about the serving of food at their establishments during special events. Many of these vendors do not routinely prepare and sell food so are not permitted as restaurants. If they operate with reusable glassware, they are instead required to meet standards for a drink stand permit. Staff were well received and enhanced the Department's relationship with many individual group members. This effort will serve our mutual public health interests in the future. -+ Nursing Video: The Nursing Directors have received videos called "North Carolina Nurses A Century of Caring" If anyone would like borrow the video see one of the directors. (57 minutes) North Carolina was the first state to pass a nurse registration law and create a Board of Nursing in 1903. e e e 2 e e e Facility utilization & Information technology Issues #6 & 4 in art -+ Plans are being made to determine a set time to begin building the new spay/ neuter facility at the ACS shelter Ground-breaking will probably be held some time in February of 2003. The structure should be completed in this fiscal year , -+ H-Drive Problems: We have experienced problems with folders/files being stored on the "H" drive (srvnt1)- We are in the process of clearing up any problems that we have been notified of to date. If you experience any problems accessing any of your files that you have saved to the server please contact Cindy Hewett. ' -+ GWI Database: experienced some technical difficulties last week. If you submitted a ticket to the GWI ticket queue and have not received a response - please resend- apparently there were several tickets that were "lost" in the repair of the database- apologies for any inconvenience this may have caused. -+ QS/ HSIS Download: for November Data will occur on Friday, December 6th. Staff must have all keying completed by COB Thursday, December 5th. -+ County Mailroom: Is Open. Entrance via swipe card. Plans are in process regarding courier service for Health Department more later, -+ County Mailroom: Open in 2 weeks. Entrance via swipe card. Extra boxes available for excess mail i.e. Finance, Human Resources, etc. Boxes to be numbered - excess mail boxes should be numbered with corresponding number -+ Facilities/Building: Partitions in Auditorium - today installation to be completed. AirlHeat out for 4 weeks; Affected areas: Administration, Communicable Disease Office area, Family Planning (Exam and FP Conference Area) Breakroom/Kitchen. Plus several other offices may be affected. -+ Facilities/Building: Partitions in Auditorium - installation was completed 11/01/02. Lynda Smith will schedule inservice for those needing to learn to use the operable partitions (First will be today at 11 :OOam in the auditorium). There will betraining sessions on Wednesday 11/6/02 at 11 am and at 3pm for anyone wanting to learn to operate the operable partitions. We need to learn how to operate since property management will not always be available to divide the room for us. (Pat Johnson will not be responsible for getting the partitions set up by property management except for planned events ahead of time). -+ Heating and Air Conditioning: Reminder' Property Management is replacing a Heating and Air Conditioning Unit on the root The Family Planning Conference Room will not be available from Today through November 15, 2002. -+ V. IV. Water quality, storm water management & drainage; & Air ualit Issues #3 & 8 -+ Water Quality: Staff are working with residents in a new subdivision, Archrnill Place, to resolve a relatively unique drinking water issue for this area. The issue is the lack of a confined aquifer from which to draw drinking water The Castle Hayne and Pee Dee aquifers offer an abundant supply of quality drinking water for most New Hanover County residents who do not have access to municipal or community water systems. Drillers, however, have determined that there is no Castle Hayne and Pee Dee formation in the strata underlying this small quadrant of new developed property. Hence, the only source for drinking water is the surficial unconfined aquifer which has limited quantities as well as undesirable physical characteristics. Filtration systems have been installed on some individual wells to improve water quality and minimize damage to household plumbing systems. -+ VI. Emerging health risks Issue #13 -+ Positive HIV tests will have new test erformed which distin 3 Staff trained for pre-test counseling. Smallpox vaccination planning and training underway. ~ Bioterrorism Update: Meetings have been held with NHCHD Smallpox Workgroup, NHC Emergency Management, Allen O'Neal, Pat Melvin, and Dr Jan Rhyne to develop NHCHD's Smallpox Vaccination Plan. The plan is due to NC DHHS/DPH on November 15. ~ West Nile Virus: As of October 21, NC has had two cases of WNV U.S. has had 3,231 cases and 176 deaths from WNV As of October 28, the U.S. count had risen to 3,391 cases and 188 deaths. ~ Bioterrorism Update: Meetings with NHCHD Smallpox Vaccination Plan Workgroup continue. The plan is due to NC DHHS/DPH on November 15. Regional consultants will train seven NHCHD nurses on Smallpox vaccinations on November 20. Epi Info/HAN Training will be held on November 13. ~ ACS Case: Animal Control Services seized 17 dogs (16 pitbulls and one terrier-mix) from two houses in the Wilmington City area. Charges against four individuals were for animal cruelty and raising dogs for the purpose of dog fighting. The case is set to be heard some time next month. ~ VII. Population growth & diversity , (Issue #2) ~ VIII. Discontinued services picked up by Health Department (Issue #9) ~ IX. Staff Development & continuing education (Issue # 14) ~ The Interim Lab Director presented a brief in-service to lab staff at the monthly lab meeting on the acute HIV screening being done at the State Laboratory ~ Brunswick Nuclear Power Plant Emergency Response Exercise is taking place 11/19/02. This Drill will not involve a scenario requiring a recommendation to give Klto the public. ~ Indoor Air Quality training: Jeff Suggs was selected by the National Environmental Health Association (NEHA) as one of 30 participants nationwide to attend their Indoor Air Quality training in Washington, DC Wed, Nov 20 - Fri, Nov 22. NEHA will cover all costs. Child Health, Health Promotions and PHRST staff contributed to the development of his proposal. This is an outstanding educational opportunity. We will see positive returns in the community as a result of this collaborative effort by staff. ~ QS Users Group: Debbie Toth and Cindy Hewett will be out of the office attending a NC QS Users Group meeting on Thursday, November 7,2003 in Chatham County. ~ Brunswick Nuclear Power Plant Emergency Response Exercise is taking place 11/19/02. This Drill will not involve a scenario requiring a recommendation to give Klto the public. ~ Strengthening Supervisory Skills Training: NHCHD supervisors to attend training on December 5-6, 2002 through Coastal AHEC. ~ Child Service Coordination: On 11/20, the Child Service Coordination team hosted a group of staff from SEC - Early Intervention, the Developmental Evaluation Center, Child Development Center, UCP Center, and NHC Preschool Program for training on the Infant Toddler and Preschool eligibility process. ~ X. Evaluation of services (Issue #16) ~ ACS staff met, both by Solutions Team and general staff, to discuss the organizational analysis suggestions sheet. Group comments were added to the form and forwarded to Dave Rice for review. ~ The state Women and Children's Health review was conducted 11/12 - 11/15. The records 4 " e e e . e e e audits were good and the state consultants were very complimentary of services and documentation. Final reports will be forthcoming in 90 days. -+ MCC Trans~ion: Transition changes continue for MCC. The latest information we have received relates to the interpretation of "documentation" and the possible availability of reimbursement for documentation. We will be awaiting word this week in anticipation of the end of the month download. -+ puality Enhancement: The Child Care Nursing Program had a visit from the Chapel Hill Quality Enhancement Consultant, who would like for us to continue carrying out their grant objectives with our part time temporary nurse. By the first of 2003, they will have a good idea as to whether that program will be federally funded for another 3 years. If so, we could plan to hire a full time nurse again (to fill Charlotte Rollin's vacant position, which has been on hold). -+ Medicaid Cost Analysis Update: Per Carol Chandler, (Question came from Family Planning regarding Medicaid and Non-Medicaid numbers)if medicaid and non-medicaid numbers cannot be separated, just indicate Medicaid numbers. -+ New Program Codes: For Neurology and Orthopedic Clinics we will need to complete form requesting State to open "OS" (other services) program code to replace "GB" (Generic Billing Code). New program codes will be effective January 1, 2003. ' . -+ WCH Audit: For upcoming WCH audit, Penny Lewis will need 5 charts from each program being audited to review financial processes. Charts pulled should have been active within audit period (with financial activity occuring during audit period). -+ Organizational Analysis 1 Strategic Planning: The Strategic Planning Retreat was held on Saturday, October 26. Information regarding the NHCHD Organizational Analysis can be found at: My Computer 1 H: Drive 1 Department 1 Health 1 Organizational Analysis. Dave Rice asked the Management Team to submit suggestions regarding the Organizational Analysis recommendations. He also asked for possible names for the Transition Team. In addition, Dave will meet with the NCIPH Team to discuss possible assistance with the transition. -+ MCC Reimbursement Change: We received notification yesterday that the MCC reimbursement rates changed, effective immediately The rate went from a $12 reimbursement unit to a $29.30 reimbursement unit. Although this will, once again, change the way the MCC staff does business, the overall picture is improved. The MCC staff is to be commended for their dedication and resilience through the many transitions in this program! -+ Immunization Assessment: The Age-appropiate Immunization Assessment (compliance rate) will be run November 25. All programs providing services to children are asked to update immunization information to be entered prior to download of data. The compliance rate includes children receiving health department services, whether they receive immunizations here or not. -+ Organizational Analysis 1 Strategic Planning: Dave Rice met with the NCIPH Team on October 31 The meeting focused on possible next steps and ways that the NCIPH could assist NHCHD with the implementation of the recommendations. Training in the areas of basic supervision/team leadership, effective meetings, and coaching were discussed. During the next couple of months, the Health Director will meet with various people to discuss suggestions for improving NHCHD. While a transition team is important, it will not be the first step in implementation. Work groups will be established to address the recommendations. "Low Hanging Fru~" will be identified and processed. Some examples of processed "Low Hanging Fruit": -+ On November 6, the NHCBH will vote to discontinue the practice of Board assistance in developing program budgets. -+ Effective December 31, 2002, the "Uniform Allowance" will be eliminated. Animal Control Officers will continue to receive an allowance. The savings will be used to purchase shirts for all NHCHD staff and to assist with the implementation of the OA recommendations. -+ All Staff responsible for newsletters/updates will meet with Elisabeth Constandy to develop a Departmental newsletter. -+ In addition, The Management Team is considering "procedural norms for meetings" to become more effective. Informational and procedural items will be submitted to the Health Director no later that 2:00 Dm the workin!l day before the Manaoement Team meets. At that 5 , . point, the Health Director will determine if a meeting is necessary. Training in effective meetings will be scheduled. Once training has been conducted, meetings throughout the Health Department will be expected to develop "procedural norms." A good resource is The Team Handbook by Peter Scholtes. ~ Several Staff have been trained in project management through the Management Academy for Public Health. Project management will be a helpful tool in processing the recommendations through work groups. Stay tuned to the "New" New Hanover County Heal,th Department. ~ Management Team: Based on the Organizational Analyse the purpose and role of the Management Team is changing to a department policy-making and leadership group. Its meeting format has changed to reflect the agenda found on page 4-7 of The Team Handbook. ~ Dress Code: The Policy Team (Betty Jo McCorkle, Dianne Harvell, Frances DeVane and Diane Vosnock) will work with a Dress Code Work Group. Members will be determined at the next Management Team meeting. ~ NHCHD Website: The NHCHD Website had 693 visits in 'October Our top six (6) web pages were:Animal Control Services (225), Department Information (190), Environmental Health (121), ~ Department Services (86), Board of Health (85), and Community Health (82). ~ Dress Code Work Group: Has been established to work with our Policy Team. Members are: Beverly Bass, LeeAnn Cook, Lu Cox, Delisa Derseraux, Susan Diamond, Ricky Gibbs, Kim Hansley, Ellen Harrison, Joyce Hatem, Cindy Hewett, and Pat Johnson. ~ Records Retention: If you are responsible for Records Retention (administrative, financial, client and medical records, etc.), please review the Records Retention information at the website below. We have received a memo from DHHS regarding Records Retention and Dispostion Schedule, stating we are subject to both the DHHS Retention and Disposition , Schedule and the Cultural Resources schedules. www.dhhs.state.nc.us/controV ~ Purchasing Practices: Memo to Department Heads from Finance Director, Bruce Shell, regarding "Purchase Practices" has been forwarded bye-mail to all Health employees. Please read and make sure your are in compliance. ~ Quality Control: The laboratory has revised the quality control procedure for the Autoclave by incorporating the Attest Biological Monitoring System for Steam Sterilization which will ensure adequate sterilization of laboratory reagents and supplies, Environmental Health Division supplies, and medical instruments from the nursing divisions. ~ Safety Measure: As a continuing safety measure and to meet OSHA standards, the eye wash stations and drench hoses located in the laboratory and in the x-ray developing room are checked weekly for proper function and cleanliness. ~ HIPAA: Note: HIPAA Committee is meeting today at 2pm- if there is anything to report or bring to Mgmt Team- will send this to you immediately following our meeting. ~ WIC Vendors: Seven WIC vendors monitored; five had deficiencies (insufficient inventory, expired foods, improper transaction of WIC checks. A WIC vendor attended WIC Vendor Training on November 21, 2001 and can now accept WIC vouchers again. ~ Jail Medical Program: Risk assessment of Jail Medical Program completed by county's insurance company. ~ Strategic Planning Updates: Will continue to be submitted on the 2nd Tuesday of each month. Updates will continue until the Strategic Planning Retreat is held (January or February 2003). ~ - e e 6