06/06/2007
New Hanover County Health Department
Revenue and Expenditure Summaries for April FY 2006 - 2007
Cumulative: 83.33% Month 10 of 12
Revenues
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
Federal & State $ 1,981,895 $ 1,747,648 $ 234,247 88.18% $ 1,848,288 $ 1,612,891 $ 235,397 87.26%
AC Fees $ 613,661 $ 586,345 $ 27,316 95.55% $ 666,096 $ 569,314 $ 96,782 85.47%
Medicaid $ 1,455,867 $ 926,816 $ 529,051 63.66% $ 1,500,300 $ 600,786 $ 899,514 40.04%
Medicaid Max $ 310,000 $ - $ 310,000 0.00% $ - $ - $
EH Fees $ 310,000 $ 221,609 $ 88,391 71.49% $ 300,212 $ 229,260 $ 70,952 76.37%
Health Fees $ 301,200 $ 341,255 $ (40,055) 113.30% $ 128,000 $ 181,706 $ (53,706) 141.96%
Health Choice $ 35,125 $ 15,109 $ 20,016 43.01% $ - $ - $ -
Other $ 2,556,213 $ 2,195,781 $ 360,431 85.90% $ 3,237,186 $ 2,581,538 $ 655,648 79.75% !M=
Totals $ 7,563,961 $ 6,034,563 $ 1,529,398 79.78%11$ 7,680,082 $ 5,775,495 $ 1,904,587 !75!0 %
Expenditures
Current Year Prior Year
Type of Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remaining
Salary & Fringe $ 12,012,062 $ 8,681,294 $ 3,330,768 72.27% $ 11,211,283 $ 8,236,682 $ 2,974,601 73.47%
Operating $ 2,167,221 $ 1,224,063 $ 943,158 56.48% $ 2,080,033 $ 1,168,139 $ 911,894 56.16%
Capital Outlay $ 108,494 $ 68,223 $ 40,271 62.88% $ 774,587 $ 460,208 $ 314,379 59.41%
Totals $ 14,287,777 $ 9,973,581 $ 4,314,196 69.80% $ 14,065,903 I's"9787,78 $ 4,200,875 70.13°~
Summary
Budgeted Actual %
FY 06-07 FY 06-07
Expenditures:
Salaries & Fringe $ 12,012,062 $ 8,681,294
Operating $ 2,167,221 $ 1,224,063
Capital Outlay $ 108,494 $ 68,223
Total Expenditures $ 14,287,777 $ 9,973,581 69.80%
Revenue: $ 7,563,961 $ 6,034,563 79.78%
Net County $ 6,723,816 $ 3,939,018 58.58%
Revenue and Expenditure Summary
For the Month of April 2007
7
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 06-07
Date (BOH) Grant Requested Pendin Received Denied
5/2/2007 Living Well: Received notification from Cape
Fear Memorial Foundation of continuation
funding for the publication of the Living Well
newspaper insert. $0 $12,000
4/5/2007 Colposcopy Funding - Request for $12,000
start-up funds from Ministering Circle for
purchase of Colposcopy equipment. Also
plan to request additional funds from other
grant sources such as Cape Fear Memorial
Foundation for expansion of program to
include a second colposcopy unit and
additional training, supplies and contract
services. $12,000 $12,000
3/7/2007 Closing The Gap - Request for $225,000
($75,000 per year for 3 years) from North
Carolina Office of Minority Health and Health
Disparities for a Health Educator to focus on
prevention of HIV and other sexually
transmitted disease in the Latino and Afro-
American populations. $225,000 $225,000
2/7/2007 CA -MRSA: Funding from UNC-Chapel Hill
School of Medicine to assist with research
related to the prevalence of community
associated methicillin resistant staphylococus
aureus $12,600
$12,600
1/3/2007 SmartStart - New Hanover County
y Partnership for Children - Child Care
~r Nursing Program $178,500 $170,000 $8,500
12/6/2006 Duke Endowment Funds, NHRMC - Dental
Unit - Personal Health Services. $25,000 for
indigent dental care and $15,000 for sedation
equipment $40,000 $40,000
11/1/2006 No Activity for November 2006
10/4/2006
March of Dimes - Maternity Care
Coordination expenditures for Baby Love
Program Baby Boutique and Learning Center $3,000 $3,000
9/6/2006 No Activity for September 2006
8/2/2006 No Activity for August 2006
7/5/2006 Child Service Coordination Family
Counseling Program (Cape Fear Memorial
Foundation) - Funding for Licensed Clinical
Social Worker for 3 years $260,000 $75,000 $185,000
Eat Smart Move More - Community Grant
(NC Dept of Public Health Physical Activity
and Nutrition Branch $16,495 $12,416 $4,079
Totals $747,595 ---$265,000-1-1, 297,016 $197,579
35.45% 39.73% 26.43%
Pending Grants 2 22%
Funded Total Request 4 44%
Partial/ Funded 3 33%
Denied Total Request 0 0%
Numbers of Grants Applied For 9 100%
8
As of 5/22/2007
Revised Medicaid Cost Settlement Totals
Estimates for 05-06
Difference between
SFY 04-05 and SFY
LHD # LHD Name Total 05-06 Total 04-05 05-06
50 Jackson $ 140,756.98 $ 73,460.84 $ 67,296.14
51 Johnston $ 274,284.10 $ 352,750.80 $ 78,466.70
52 Jones $ 20,811.59 $ 43,296.63 $ 22,485.04
53 Lee $ 97,434.92 $ 109,540.44 $ 12,105.52
54 Lenoir $ 106,013.52 $ 119,092.27 $ (13,078.75
55 Lincoln $ 110,974.72 $ 77,491.43 $ 33,483.29
56 Macon $ 125,051.75 $ 80,225.60 $ 44,826.15
57 Madison $ 44,561.64 $ 48,746.05 $ 4,184.41
58 Martin T rell Washington $ 393,903.12 $ 446,822.61 $ 52,919.49
59 Rutherford Polk McDowell $ 853,409.47 $ 627,547.61 $ 225,861.86
60 Mecklenburg $ 610,452.53 $ 497,775.99 $ 112,676.54
62 Montgomery $ 104,262.08 $ 95,783.60 $ 8,478.48
63 Moore $ 193,614.20 $ 193,379.13 $ 235.07
6 $ 400,568-85 $ 446,745.40 $ 46,176.55
65 New Hanover $ 497,049.09 $ 334,886.35 $ 162,162.74
66 Nort am ton 1 , 7 $ 143,759.01 $ 10,375.14
67 Onslow $ 427,939.44 $ 332,221.90 $ 95,717.54
68 Orange $ 236,658.15 $ 210,641.11 $ 26,017.04
69 Pamlico $ 10,555.78 $ 14,041.98 $ 3,486.20
71 Pender $ 207,126.87 $ 169,808.07 $ 37,318.80
73 Person $ 182,771.64 $ 152,156.37 $ 30,615.27
74 Pitt $ 453,895.27 $ 291,393.55 $ 162,501.72
76 Randolph $ 253,791.12 $ 192,749.83 $ 61,041.29
77 Richmond $ 164,628.69 $ 143,129.02 $ 21,499.67
78 Robeson $ 663,083.73 $ 536,400.35 $ 126,683.38
79 Rockingham $ 339,070.20 $ 282,493.41 $ 56,576.79
80 Rowan $ 281,180.83 $ 299,826.63 $ 18,645.80
82 Sampson $ 172,346.87 $ 154,770.89 $ 17,575.98
83 Scotland $ 272,119.10 $ 192,018.42 $ 80,100.68
84 Stanl $ 188,433.22 $ 96,795.57 $ 91,637.65
85 Stokes $ 86,833.89 $ 126,779.06 $ 39,945.17
86 Sur $ 292,190.06 $ 267,177.98 $ 25,012.08
87 Swain $ 27,430.12 $ 16,251.92 $ 11,178.20
88 Transylvania $ 32,558.55 $ 21,963.33 $ 10,595.22
90 Union $ 415,357.69 $ 488,422.63 $ 73,064.94
92 Wake $ 2,011,390.18 $ 2,087,341.36 $ 75,951.18
93 Warren $ 27,340.76 $ 53,444.41 $ 26,103.65
96 Wayne $ 581,928.08 $ 547,985.51 $ 33,942.57
97 Wilkes $ 633,424.71 $ 431,026.82 $ 202,397.89
98 Wilson $ 396,422.59 $ 374,070.13 $ 22,352.46
99 Yadkin $ 101,996.49 $ 124,660.04 $ 22,663.55
$ 27,203,511.13 $ 24,800,352.46 $ 2,403,158.67
9
David E Rice/NHC To kroane@nhcgov.com
05/18/2007 10:21 AM cc jmccumbee@nhcgov.com, sharrelson@nhcgov.com
bcc
Subject Fw: [NChealthdirectors] FW: Version #2 LHDs Medicaid
Cost Settlement Estimates for FY 05-06
fyi
$497,049.09 - Medicaid Cost Settlement
David E. Rice, MPH, MA
Health Director
New Hanover County Health Department
2029 South 17th Street
Wilmington, NC 28401
910-798-6591 phone / 910-341-4146 fax
drice@nhcgov.com
vwvw.nhchd.org
Forwarded by David E Rice/NHC on 05/18/2007 10:20 AM
"Heather K. Gates"
exa; <hkgates@ncapha.org> To <NChealthdirectors@ncapha.org>
1. ' I Sent by;
nchealthdirectors-bounces@n cc Dennis.Harrington@ncmail.net
capha.org Subject [NChealthdirectors] FW: Version #2 LHDs Medicaid Cost
Settlement Estimates for FY 05-06
05/17/2007 05:02 PM
Please respond to
hkgates@ncapha.org
Forwarding per request of Dennis Harrington- electronic version of
materials distributed at this morning's meeting
hkg
Heather K. Gates
Executive Director & Lobbyist
7424 Chapel Hill Rd., Suite 201
Raleigh, NC 27607
(919) 233-7332 Fax: (919) 233-7336
Cell: (919) 440-1793
hkgates®ncapha.org
proudly serving the public health Associations of North Carolina
NC Alliance of Public Health Agencies
NC Association of Local Health Directors
NC Public Health Association
10
r
-----Original Message-----
From: Dennis Harrington [mailto:Dennis. Harrington@ncmai1.net]
Sent: Wednesday, May 16, 2007 7:19 PM
To: Heather K. Gates
Cc: Dennis Harrington; Carol Chandler; Steven Garner; leah.devlin; Steve
Cline; Allen Hawks
Subject: version #2 LHDs Medicaid Cost Settlement Estimates for FY 05-06
Importance: High
Hi Heather,
Attached is the revised file of the Medicaid Cost Settlement Estimates
for FY 05-06. As I stated in the first email, they were estimates.
The attached file is revised per negotiations with DMA/DHHS Controller's
Office and DPH hopefully closer to the final! The good thing is
that the total settlement increased about $148,000. over the 1st
estimate sent out. Again, some health departments will see their
figures go up and some down, but hopefully this is closer to the final.
Please send over your local health director email list! Dennis H
PS I will have copies at the Health Director's Meeting for those
Directors present. DEH
!SIG:464cc5el65921563944278!
Settlement totals for Dennis•1.1.xls
Nchealthdirectors mailing list
Nchealthdirectors®ncapha.org
http://two.pairlist.net/mailman/listinfo/nchealthdirectors
!SIG:464cc5el65921563944278!
NOTICE. E-Mail correspondence to and from this address maybe subject to the North Carolina Public Records Law.
wt
11
i
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
Agenda: ® BOH Mtg. - 06-06-07
CC Mtg. - 06-18-07
Department: Health Presenter: Janet McCumbee, Personal
Health Services Manager
Contact: Rob Neilson, Business Officer 798-6680/Carla Turner, School Health Nurse
Supervisor - Team 11 798-6629
Subject: Grant Application - Landfall Foundation - School Health Program - Personal
Health Services - $2,700
Brief Summary: New Hanover County Health Department (NHCHD) is requesting funds
in the amount of $2,700 from the Landfall Foundation to purchase sixteen (16)
wheelchairs for the NHCHD School Health Nursing Program for the nursing offices that
do not presently have one. These wheelchairs will be used in the event of injury and
inability to ambulate.
Recommended Motion and Requested Actions: Request approval to submit grant
application to the Landfall Foundation for $2,700 and to submit to the New Hanover
Count Commissioners for their consideration.
Funding Source: Landfall Foundation
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Ex lanation: No count match required.
Attachments: Grant Application - Landfall Foundation
12
2007
LANDFALL FOUNDATION
GRANT APPLICATION FORM
Must be received no later than June 20, 2007. Mail (US Postal Service only)
to:
Grants Committee
Landfall Foundation
1924 Pembroke Jones Drive
Wilmington, NC 28405
ORGANIZATION NAME: New Hanover County Health Department
PROJECT TITLE: Wheelchairs for Elementary, Middle and High Schools
CATEGORY OF ENTRY: ART
EDUCATION
HEALTH & WELFARE_X
AMOUNT REQUESTED: $ 2700.00
SUMMARIZE YOUR PROJECT IN 50 WORDS OR LESS
We are interested in acquiring 16 wheelchairs for elementary, middle and high
schools that do not currently have one. A wheelchair is a vital tool for school
nurses to provide a higher quality of care to injured or acutely ill students or staff
members.
PART I: YOUR ORGANIZATION
Name: New Hanover County Health Department
Street Address:2029 S 17th Street
City, State, & Zip Code: Wilmington, NC 28409
Name of Key Contact Person: Rob Neilson
Title: Business Officer
E-mail address: rneilson(a)-nhcgov.com
Organization Website: www.nhc.gov
Telephone: #910-798-6680
Fax#910-341-4146
Name of Additional Contact Person: CarlaTurner, RN
Title: School Health Supervisor
Telephone: # 910-798-6629
E-mail address: cturner(a~nhcgov.com
Mailing address: 2029 S. 17"h Street
Wilmington, NC 28401
1. PLEASE ATTACH A COPY OF YOUR IRS TAX-EXEMPTION LETTER
WITH YOUR APPLICATION.
Not applicable.
2. Is your organization a private, non-operating foundation? If yes, you
do not qualify for a grant. YES ( ) NO (x)
3. Would a grant from the Landfall Foundation in the amount being
requested jeopardize your tax-exempt status? YES NO (x )
r
13
4. Is your organization affiliated with or part of a state or national
organization? YES (x) NO If YES, please explain. We are a Local
County Health Department, which is mandated by the state.
5. Does your organization plan, now or in the future, to engage in any
way in the promotion or advancement of political causes or religious
beliefs? If YES, please explain. YES NO (x)
6. Is your project eligible for city, county, state, or federal funding? If
YES, please explain. YES NO (x)
7. Briefly summarize your organization's background, goals, and
current programs and how this grant would help your organization
meet its goals.
The New Hanover County Health Department is the oldest Health Department
in North Carolina. It is dedicated to promoting and protecting the health of the
citizens of New Hanover County. The Health Department's current programs
include Environmental Health, Vector Control, Animal Control, Laboratory,
Women, Infants and Children (WIC), Community Health, Child Health, Dental
Health, General Nutrition, Communicable Disease, Counseling and Testing
(HIV Program), Women's Health, and Health Promotion.
New Hanover County Schools contracts with New Hanover County Health
Department to provide nurses for New Hanover County schools. School nurses
are a division of the Personal Health team. If this grant is approved, it will allow
the school nurses to provide a higher quality of care to the students and staff that
they serve
8. Describe your organization's structure. Include the location where'
your directors routinely meet. If your directors meet in the greater
Wilmington, NC area, state whether or not these directors are responsible
for approving your budget and expenditures as well as appointing your
senior paid executive. (If this does not apply, please explain.) Attach a list
of your officers and directors.
• County Commissioners
• New Hanover County Board of Health
Wilmington, NC 28412
Chair: Edward Weaver, Jr., OD
Nurse Member: Virginia Adams, PhD
Public Member: Marvin W. Freeman, Sr.
County Commissioner: Nancy H. Pritchett
Public Member: C. Benjamin Spradley
Veterinarian Member: G. Robert Weedon, DVM, MPH
• Health Director: David Rice, Wilmington, NC 28412
(Serves as Secretary for the Board of Health)
• Medical Consultant: Janelle Rhyne, MD
• Division Managers
14
Budget items are proposed by the Board of Health and then forwarded to
County Commissioners for approval.
9. State what percentage of your organization's income is spent on
overhead and other administrative expenses.
Approximately eighty percent of the Health Department's income is spent
on overhead and administrative expenses.
PART II: PROJECT/PROGRAM (Please quantify whenever possible.)
1. Describe the need or opportunity that the proposed project will
address.
New Hanover County Schools is fortunate enough to have a school nurse
in each elementary, middle and high school. The 37 school nurses in New
Hanover County serve over 23,000 students, as well as staff. The
spectrum of health and safety issues that a nurse encounters is quite
broad. One very common issue, is injury to students or staff. In the event
that an injury prevents one from standing or walking, a wheelchair is a
necessity for transporting someone injured to the health room or other
safe area.
2. Describe the objective of the project and indicate how individual lives
of the recipients will be improved and how many people will benefit.
The objective is to provide a wheelchair for each elementary, middle and
high school that does not currently have one. This would better meet the
needs of the 10,545 students and the staff at those schools should they be
unable to stand or walk, due to injury or acute medical condition. In
summary, the school nurses in New Hanover County would be able to
provide a higher quality of care to the students that they serve.
3. If this project is part of a larger program, describe how a Landfall
Foundation Grant will make a difference within the overall project.
This project would serve the entire school health program. The grant would allow
school nurses to continue to provide the safest and highest quality of care
possible. Without wheelchairs in the schools, we are left to find less than safe
measures to transport students or to contact EMS when that may not be
necessary.
4. What strategies will you employ to accomplish the project objective?
Will you use volunteer help in this project? If YES, how many
volunteers and how will they be used? YES( ) NO(x )
This project requires research on the best wheelchair for this particular
population of students and then to order them as per New Hanover
County policy. The final step would be to have the wheelchairs distributed
~w
15
to the schools and put to use. No volunteers should be needed for the
project.
5. State how Landfall Foundation will receive individual recognition for
its contributions.
If the grant is approved, it will be announced at the general staff meeting
at the New Hanover County Health Department. The Board of Health,
Health Director, and County Commissioners will also be informed that a
grant funded by the Landfall Foundation was approved to provide
wheelchairs for the School Health division of Personal Health.
6. State how, when and who will conduct an evaluation to measure how
well your project is meeting its objectives.
I will survey the nurses in the schools who received wheelchairs to see
how it has better met the needs of the students with injuries requiring
transport. I will conduct this survey at 3 months, 6 months and 1 year
from the date of receipt.
PART III: FINANCIAL INFORMATION
1. Provide a complete project budget, including income and expenses,
for the project for which you are requesting funds.
The wheelchairs requested cost $165.63 each. The total cost for 16
wheelchairs would be $2650.08. There are no additional expenses.
2. List the names of organizations, both public and private, to which you
have applied for support for this specific project/program. Also,
show the amount requested and the status (pending, approved, or
disapproved).
We have not applied to any other organizations for support for this project.
3. If funds are to be used for construction or equipment acquisition, will
bids be obtained? If so, summarize the bidding process.
There was no bidding process, Tarheel Physicians was the company used
to obtain a quote for the cost of a wheelchair.
4. Provide a copy of your most recent annual Financial Statement,
including a balance sheet and statement of your income and
expenditures. If unavailable, please explain.
PART IV: REPORTING REQUIREMENTS
If you received a Landfall Foundation Grant in 2006, you must mail (US Postal
Service) a progress report for the project before submitting an application for
2007. The report must be received no later than June 12, 2006. Mail (US Postal
Service) to: Grants Committee, Landfall Foundation, 1924 Pembroke Jones
Drive, Wilmington, NC 28405. Landfall Foundation expects that any funds
awarded will be used solely for the purpose set forth in the Grant Application.
The following checklist is provided to assist you in ensuring that your grant
application is complete. In order for your application to be considered for funding,
16
all of the items listed below must be submitted. The notations in parentheses
refer to the applicable part of the application form.
1. Five (5) copies of grant application
2. Description of structure of your organizational chart (Part I,
#8)
3. List of current officers and directors (Part I, #8)
4. Summary of project (50 words or less)
5. Number of people to benefit from the project (Part ll, #2)
6. Description of evaluation process (Part II, #6)
7. Detailed budget of project for which grant is sought. (Part III,
#1)
8. Complete answers to all application questions.
9. If you received funding from the Landfall Foundation in 2006,
your project progress report must be received by June 12, 2007.
10. Tax-exempt letter included.
If you have any questions you may contact the Grants Committee:
Chair: Curtis Sewell 256-5355 or csewell(cD-landfallfoundation.org
Date
Signature
Title
17
New Hanover County Board of Health
Public Health Foundation of New Hanover County
Potential Members - Board of Directors
June 1, 2007
Last Name First Name Place of Business Nominator
Barto Jack NHHN Shakar
Cameron Bill Rhyne
Covington Paul PPD Weaver
David Ben DA McNeil
Dean Lenwood S. "Bo" UNCW Weedon
DePaolo Rosemary UNCW Roane
Dill Matthew Rhyne
Doyle Trish Tileston Clinic Shakar
Dunn Ted Physician Rhyne
Eschelman Fred PPD Weaver
Gams Garry CFMF Rice
Goins Michael Optometrist McNeil
Gorham Phyllis Judge McNeil
Howard Rudy Contractor Harrelson
Hundley Jim Physician Rice
Hunter Gela Children's Clinic McNeil
Jones Jim Physician Shakar
Justice Carolyn NC Assembly Rice
Kinghoff Janice Rhyne
Lee Helena Rhyne
Levy Diane UNCW Weedon
McEachem Mary Margaret Attorney Weedon
McMurray Eugene Physician Rhyne
Moore, III Robert Physician Rhyne
Neal Carolyn Charitable work McCumbee
Parker Connie WHAT Harrelson
Reynolds Miars Margo NHCS Weaver
Rust CK Physician Shakar
Steuer Bill Steuer and Assoc. McNeil
Sullivan Scott Rhyne
Szalosky Joe Murphy Brown Harrelson
Wells Charles Banking Rhyne
Weyerhauser Mr/Mrs Roane
PUBLIC HEALTH FOUNDATION OF NEW HANOVER COUNTY, INC.
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Mission: The Public Health Foundation of New Hanover County, Inc. is a private,
non-profit foundation established to achieve specific objectives:
• Insure the availability, accessibility and affordability of healthcare services.
• Promote good health practices.
• Contribute to the achievement of the highest practical standards in public health.
• Conduct public health, which will develop new knowledge and methods.
• Provide supportive management and professional resources for more efficient
and effective use of funds.
In addition to the objectives set forth in the bylaws, the vision of the Foundation is to
address public health needs that cannot be met by established organizations; to fund
innovative public health initiatives that do not have established funding sources; to
promote collaboration among private and public organizations to achieve public health
goals; and to receive donations, grants, endowments and contributions from individuals,
organizations, foundations or other entities.
The general purposes of the Foundation are as follows:
• The Corporation shall be a non-profit Corporation to solicit, receive and
administer funds for the furtherance of the purposes of this Corporation as set
forth in the Articles of Incorporation.
• To do all other things necessary, desirable or useful in order to carry out the
purposes and objectives of the Corporation.
Organization:
The organization is organized exclusively for charitable, religious, educational,
and/or scientific purposes under section 501(c)(3) of the Internal Revenue Code.
err
PUBLIC HEALTH FOUNDATION OF NEW HANOVER COUNTY APPLICATION
2029 South 17th Street
Wilmington, NC 28409
(910) 798-6591
Name:
HomeAddress:
Mailing Address if different:
Home Phone:
Fax:
Cell:
Business:
Employer:
Professional Activities:
Volunteer Activities:
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NHCHD Board of Health
Request for Approval
Medicaid Maximization Cost Settlement Funds
June 6, 2007
The New Hanover County Health Department has been notified by Medicaid of a
cost settlement for fiscal year 2005-06 in the amount of $497,049. This is an
increase of $187,049 over the amount of Medicaid Cost Settlement revenues
budgeted.
Approval from the New Hanover County Board of Health is requested to allow
deposit of the $187,049 additional Medicaid Cost Settlement revenues into an
escrow account to be carried forward for future use in the women's and children's
health programs that generate Medicaid revenues. Future use of these funds
may include costs for building construction, renovation, lease, or other future
needs within those programs.
WILMINGTON HEALTH ASSOCIATES
1202 MEDICAL CENTER DRIVE
WILMINGTON, NC 28401
TELEPHONE: (910) 341-3300
FACSIMILE: (910) 341-3419
W W W . WILMINGTONHEALTH.COM
Barbara Thrift, R.N. ~y /
Director, Neurology Clinic
New Hanover Health Department
Dear Barbara,
We regret to inform you that Wilmington Health Neurology will no longer be able to staff the New.
Hanover Health Department Neurology Clinic after August 31, 2007. We have enjoyed working ..WW
all of you at the Health Department over the years, but because of the dwindling number of
neurologists in Wilmington, together with our increased patient load in the hospital and in the office,
we are forced to discontinue this service. We will continue to see appropriate patient referrals in the
office in a timely fashion. Some of the current Health Department patients can probably be
appropriately treated in one or another of the hospital clinics; and we expect to see some indigent
patients in the office as well.
Again, we have greatly enjoyed our experience working with the team in the Health Department.
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Sincerely,
r. i chman r. Al DeMaria, Dr. Tony Holt, Dreen Sai ,lam. Sins Torr
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ALLERGY • CARDIOLOGY' DERMATOLOGY • ENDOCRINOLOGY • FAMILY PRACTICE • GASTROENTEROLOGY
GYNECOLOGY • INFECTIOUS DISEASES • INTERNAL MEDICINE • NEUROLOGY
OBSTETRICS' OTOLARYNGOLOGY • PEDIATRICS 0 PULMONOLOGY • SURGERY 0 UROLOGY
Phred Pilkington To "drice@nhcgov.com" <drice@nhcgov.com>
' <PPilkington@Cabarr
usHealth.org>
05/10/2007 08:02 AM bcc
Subject here's the summary4et me know if you need anything else
BtrLife : A Project to Develop and Demonstrate Innovative Public Health
Programs that Use Electronic Communications to Promote Healthy Behaviors.
This project will develop and demonstrate techniques for influencing healthy
behavior by focusing on communicating with members of the public via new and
popularly used electronic tools (e.g. cell phones, PC, laptops) and by leveraging
the emerging social networking usages of these tools.
Very large percentages of the public in every socioeconomic group now have cell
phones and laptops/PC's with Internet connections. These devices commonly have
high quality voice, video, and text capabilities. Increasingly these devices also
contain locator capabilities that allow for the creation of new services that depend
on knowing "Where am I now?" and "What/who is near me?". These devices and
the associated basic information services provide new and largely unexplored
avenues that public health agencies may use to positively influence healthy
behaviors.
Influencing behavior is important because there are many public health problems
that can be prevented, delayed, and diminished by members of the public more
frequently choosing to behave in a way that supports healthy outcomes. Healthy
diets, regular exercise, avoidance of risky sexual behaviors, vigilant attention to
blood glucose levels for diabetics, attention to emerging signs of an asthma attack,
prescription drug usage compliance, and safe driving are just a few examples.
These new electronic approaches can yield cost-effective personalized health
influencing services that can be active at any time or place, can be sensitive to time
and place, and can engage a person's influential near-peers in establishing and
maintaining healthy choices.
In the course of the project we will define a suite of services that make use of
popular information devices and services, prioritize the services in the suite
according to their potential to be influential and cost-effective, assess critical
success factors for the services (e.g. adoption by the public), and pilot selected
services. Near the end of the project, we will engage others who wish to replicate
and expand this work via workshops designed for early adopters of this type in
intervention.
Uiam Tikington
Public Health Director
t~
New Hanover County
Animal Control Services
Advisory Committee
Meeting Minutes 05/09/07
Members present: JoE Needham (Vice Chair), Joyce Bradley, Bob Weedon, Dianne Connor, Whitney
Doremus, Patrice Kaizar
Members Absent: John Boozer (Chair-ex), Martha Raynor (ex), Gretchen Colby, Cindy Miles (ex),
Old Business
1. Advisory Committee by-laws.
Bob prepared a draft document for everyone to review.
2. Advisory Committee member training.
We re-visited these ideas. Need to get clearance on ride-alongs.
3. Adopted animal registration form.
JoE completed the last changes to this form. Copies available.
4. Ashley HS w/ Karen Campbell.
Patrice has made contact with Karen. Still working on getting
everything in place to launch the project.
5. New member.
Joyce Bradley has been reinstated to a member-at-large position.
6. Public Health Forum - April 10, 6-8:30 p.m.
This was a great success. We had 36 veterinarians and one staff
member attend the event. We may be asked to travel with the
presentation by the sponsor (Merial).
7. Rabies clinic @ ACS - April 21, 1-3 p.m.
We vaccinated around 130 animals in two hours! Thanks, Dianne, for
all your help.
New Business
1. Landscaping.
The money has been okayed for this to proceed.
2. NC Animal Rabies Control Association meeting.
Bob & Jean are to do the forum presentation in October for this event.
3. Co-location shelter.
EM's Kristen Wingenroth is the new lead for this. It is to be done at
Noble School. We hope to have all in place for this year's hurricanes.
4. CDC rabies awareness day Sept 8.
This will be the first world rabies awareness day. Our campus
community partners have stepped in to help us out.
i
5. UNCW students - campus rabies clinic.
The pre-veterinary club requested and received funding for a campus
rabies clinic. They will do this on September 8, for the CDC event.
They will need volunteers to help with it.
6. Additional ordinance changes/updates. (Note: All changes need to be
reviewed by County Legal prior to sending to the Board of Health.)
a. Restriction of animals given as prizes at county fairs.
We agreed on the sample from Brunswick County.
b. Update to vicious dog ordinance language.
Some input from staff. We will look at this as being re-worded
to enable staff to make a DD declaration without citizen input.
This is important in cases where the victim is fearful of
repercussions from the dog owner.
c. Ability for entire ACS staff to sign citations.
The group is okay with changing this.
d. Change time frame on DD hearing notification.
We will change the sentence that says we will schedule a
meeting within ten days of receiving notification.
7. Dog park.
Jean attended a meeting where they requested that ACS establish a
I%W presence at the park to discourage misuse of the area.
8. Committee meeting dates.
July 11 and October 17 (both Wednesdays) at 7 p.m.
9. Pre- and peri-operative analgesics for S/N facility.
Bob got some samples donated for the dogs. Thanks, Bob!
I O.Building community partners.
We've done the forum, the students are a big help, and Patrice wants
to incorporate ACS material into her work.
11.Where do we go from here?
Reminder: ICRC will be November 3. We need someone to head this
up for 2007. (Whitney did it last year.)
Skr
David E Rice/NHC To Rob Neilson/NHC@NHC
05/10/2007 01:54 PM cc Kim Roane/NHC@NHC, Paula Jenkins/NHC@NHC,
sharrelson@nhcgov.com, jmccumbee@nhcgov.com
bcc
- Subject Re: F.A.C.T. Recommendations from the 5/9/07 Meeting(
Approved.
David E. Rice, MPH, MA
Health Director
New Hanover County Health Department
2029 South 17th Street
Wilmington, NC 28401
910-798-6591 phone / 910-341-4146 fax
drice@nhcgov.com
www.nhchd.org
Rob Neilson/NHC
Rob Neilson/NHC
05/10/2007 11:42 AM To David E Rice/NHC@NHC
cc Paula Jenkins/NHC@NHC, Kim Roane/NHC@NHC
Subject F.A.C.T. Recommendations from the 5/9/07 Meeting
David,
The F.A.C.T. meeting held on May 9, 2007 resulted in the following three
recommendations for your approval (no item will result in a change in revenues greater
than the $5,000/year threshold for your approval):
1) Gardasil Vaccine - Medicaid coverage is now available for 19 and 20 year old females
receiving private stock Gardasil. The total Medicaid reimbursement will be $136.75 per
dose. Our current private stock rate is $140.00. We recommend approval to bill Medicaid
for these patients.
2) Immunization administration codes for intranasal/oral vaccines - Recommend adding
CPT codes listed below, at the F.A.C.T. recommended fees.
F.A.C.T Current
CPT Recommended Medicaid
Code Description Fee Reimbursement
90467 Intranasal/oral with physician counseling, age <8 $ 15.00 n/a
90467EP Intranasal/oral with physician counseling, age <8 $ 15.00 $ 11.98
Intranasal/oral with physician counseling and one or
90468 more injectable vaccines, age <8 $ 10.00 n/a
Intranasal/oral with physician counseling and one or
90468EP more injectable vaccines, age <8 $ 10.00 $ 9.27
Intranasal/Oral without physician counseling, age
90473 <20 $ 15.00 n/a
Intranasal/Oral without physician counseling, age
90473EP <20 $ 15.00 $ 12.74
Intranasal/Oral without physician counseling and
90474 one or more injectable vaccines, age <20 $ 10.00 n/a
Intranasal/Oral without physician counseling and
90474EP one or more injectable vaccines, age <20 $ 10.00 $ 8.94
3) Dental Rate Changes - a) The CPT codes to be deleted (in the chart below) are not
Medicaid or Health Choice reimbursable. Our MDU Dentist has indicated he will not
provide these services on the dental unit. Recommend deleting from fee policy. b)
Medicaid reimbursement rates for the CPT codes in the second chart have increased.
F.A.C.T. committee recommends updating our rates to 110% of the revised Medicaid
rates (currently all MDU fees are set at 110% of the Medicaid rate).
a
CPT Codes to Delete
D0460 Pulp vitality test (Not on Medicaid List)(Correct HCPC)
D1550 Modified/recemented space maintainer (Not on Medicaid List)(Correct HCPC)
D2920 Re-cement crown (Not on Medicaid List)(Correct HCPC)
D3110 Pulp cap dir exct rest (Not on Medicaid List)(Correct HCPC)
D3120 Pulp cap-indirect (Not on Medicaid List)(Correct HCPC)
D3221 Gross pulp, debridement (Not on Medicaid List)(Correct HCPC)
D5820 Interim maxi partial denture (Not on Medicaid List)(Correct HCPC)
D5821 Interim mand partial denture (Not on Medicaid List)(Correct HCPC)
D9310 Consultation (Not on Medicaid List)(Correct HCPC)
D9911 Desensitizing treatment, resin (Not on Medicaid List)(Correct HCPC)
D9920 Behaviorial management (Not on Medicaid List)(Correct HCPC)
D9951 Occlusal adjust, limited (Not on Medicaid List)(Correct HCPC)
b
Recommended Rate Update
Revised F.A.C.T.
CPT Medicaid Recommended
Code Description Rates Fee
D0240 Intraoral - occlusal film $15.00 $16.
D0270 Bitewing - single film $10.50 $11
D0470 Diagnostic casts $39.50 $43.
D1110 Prophylaxis - adult (HC 14+) $33.50 $36.
D1120 Prophyaxis - child $24.50 26.
D3310 Root canal therapy - anterior (excluding final restoration) $262.50 8.
D3320 Root canal therapy - bicuspid (excluding final restoration) $310.50 $341.
D3330 Root canal therapy - molar (excluding final restoration) $372.00 $409.
Periodontal scaling/root planing - four or more contiguous teeth
D4341 per quad $87.89 $96.
Full mouth debridement to enable comprehensive evaluation
D4355 and dx $64.40 $70.
D7111 Extraction, coronal remnants - deciduous tooth $48.00 $52.
D7140 Extraction, erupted tooth or exposed root $57.50 $63.
D7210 Surgical removal of erupted tooth $100.00 $110.
D7220 Removal of impacted tooth, soft tissue $115.50 $127.
D7250 Surgical removal of residual tooth roots (cutting procedure) $111.00 $122
Tooth reimplantation and/or stabilization of accidentally
D7270 evulsed/displaced $197.50 $217.
D9220 Deep sedation/general anesthesia - first 30 minutes $138.00 $151.
Thank you,
Robert Neilson
Business Officer
New Hanover County Health Department
(910) 798-6680
fax (910) 341-4146
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