09/01/2010
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
1086 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 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.
1087 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 $$ $ 6,177,740 5,014,561 81.17% Ms. Roane presented the July Revenue and Expenditure Summary
Report that reflects an earned revenue total of $414,595 with a remaining revenue budget of $8,514,123 and an expenditure budget total of $560,744 with a remaining budget of $14,774,420.
Ms. Roane briefly summarized that this is month one of the 2011 FY and really just getting into our new FY; we are at 4.61% of our revenue budget and 3.66% on expenditure side and so
progress is good thus far with our county appropriations at 2.28%; our performance is good compared to last year. The new Health Information System (HIS) has slowed things down a bit
for us; it has been a bit of a challenge. There were short discussion/questions. A financial summary is below:
1088 Budgeted Actual % FY 08-09 FY 08-09 Expenditures: Salaries & Fringe $12,915,022 $ 417,140 Operating Expenses $ 2,385,388 $ 139,341 Capital Outlay 34,753 $ 4,263 Total Expenditures
15,335,164 560,744 3.66% Revenue: $ 8,928,718 $ 414,595 4.61% Net County $$ $ 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.
1089 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.
1090 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