08/01/2007
New Hanover County Health Department
Revenue and Expenditure Summaries for June FY 2006 - 2007
Cumulative: 100.00% Month 12 of 12
Revenues w
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
Federal & State $ 1,981,895 $ 1,908,297 $ 73,598 96.29% $ 1,876,678 $ 1,872,738 $ 3,940 99.79%
AC Fees $ 613,661 $ 724,047 $ (110,386) 117.99% $ 666,096 $ 716,457 $ (50,361) 107.56%
Medicaid $ 1,455,867 $ 1,142,267 $ 313,600 78.46° $ 1,500,300 $ 1,017,228 $ 483,072 67.80%
Medicaid Max $ 310,000 $ 497,049 $ (187,049) 160.34% $ - $ 350,819 $ (350,819)
EH Fees $ 310,000 $ 251,720 $ 58,280 81.20% $ 300,212 $ 276,752 $ . 23,460 92.19%
Health Fees $ 301,200 $ 403,387 $ (102,187) 133.93% $ 128,000 $ 217,832 $ (89,832) 170.18%
Health Choice $ 35,125 $ 21,822 $ 13,303 62.13% $ - $ - $
Other $ 2,508,082 $ 2,495,827 $ 12,255 99.51% $ 3,247,186 $ 3,070,464 $ 176,722 94.56%
Totals $ 7,515,830 $ 7,444,417 $ 71,413 99.05% $ 7,718,472 $ 7,522,289 $ 196,183 97.46%
Expenditures
Current Year Prior Year
Type of Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remaining
Salary & Fringe $ 11,887,342 $ 11,123,722 $ 763,620 93.58% $ 11,201,551 $ 10,590,517 $ 611,034 94.55%
Operating $ 2,190,996 $ 1,763,757 $ 427,239 80.50% $ 2,091,155 $ 1,694,955 $ 396,200 81.05%
Capital Outlay $ 123,308 $ 96,581 $ 26,727 78.33% $ 811,587 $ 719,785 $ 91,802 88.69%
Totals $ 14,201,646 $ 12,984,060 $ 1,217,586 91.43% $ 14,104,293 $ 13,005,257 $ 1,099,036 92.21%
Summary
Budgeted Actual %
FY 06-07 FY 06-07
Expenditures:
Salaries & Fringe $ 11,887,342 $ 11,123,722
Operating $ 2,190,996 $ 1,763,757
Capital Outlay $ 123,308 $ 96,581
Total Expenditures $ 14,201,646 $ 12,964,060 91.43%
Revenue: $ 7,515,830 $ 7,444,417 99.05%
Net County $ 6,685,816 $ 5,539,643 82.86%
Revenue and Expenditure Summary
For the Month of June 2007
7
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 06-07
Date (BOH) Grant
Re uested Pendin Received Denied
7/11/2007 WIC Mini-grant - Request to ratify application
for mini-grant funds for minor renovations to
the WIC registration workstations to improve
customer service.
$18,000 $18,000 ?
616/2007 Landfall Foundation - Request for funds to
purchase 16 wheelchairs for the NHCHD
School Health Nursing Program.
$2,700 $2,700
4/4/2007 Cape Fear Memorial Foundation -
COlposcopy Program - Womens Preventative
Health. $25,000 for start up cost for physician
and interpreter contracted services,
equipment, supplies, and training.
$25,000 $25,000
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
Totals $85,700 $85,700 $0
100.00% 0.00% $oo
Pendin Grants 0.00 /o
Funded Total Re uest 4 %
Partiall Funded 0 0%
Denied Total Re uest 0
Numbers of Grants A plied For 0
4 100%
Ir
8
As of 7/16/2007
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
Agenda: ? BOH: 08/01/07
A
Department: Presenter: Kim Roane, Business Manager
Health Department
Contact: Kim Roane, 798-6522
Subject: Request for Approval to Write off $210,389 in Accounts Receivable Bad Debts,
For years FY92-93 thru FY06-07.
Brief Summary: 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. To begin this process, accounts aged over the past 15 years will be included in the
initial bad debt write-off. This is required for continuation of state funding and is also an
accreditation requirement.
Recommended Motion and Requested Actions: To approve the recommendation to write
off $210,389 in bad debts for years FY92-93 thru FY06-07.
Funding Source: N/A
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Ex lanation:
Attachments: Summary of Bad Debts; Division of Public Health Agreement Addenda Section
D: Quality Assurance Deliverables; NC State Statute Excerpt for Title X funds.
9
New Hanover County Health Department
Summary of Bad Debts - FY92-93 thru FY06-07
Administration $ 353
Adult Health $ 391
Adult Neurology $ 2,237
Communicable Disease $ 91
Child Health $ 8,980
Family Planning $ 188,327
Immunizations $ 4,087
Lab $ 127
Child Neurology $ 278
Nutrition $ 243
Personal Health $ 1,830
Tuberculosis $ 3,446
Total Bad Debt Write-off: $ 210,389
10
DIVISION OF PUBLIC HEALTH
AGREEMENT ADDENDA
SEur[ON D: QUALITY ASSURANCE DELIVERABLES (continued)
1. o. Establishment of a media review/advisory committee with 5 to 9 members who broadly represent the community and
maintain written records of their determinations. (Title X, section 6.8)
p. Assurance of adherence to the 101 Alamance - 250Alamance sliding fee scale. (TitleX, section 6.3)
q. Addressing of aging outstanding accounts. (Title X, section 6.3) "
r. Reflection that family planning clients are not required to have proof of income and cannot be denied services because
of outstanding account balances. (Title X, section 6.3)
2. Clients enrolled 'in the local agency's family planning program will be provided the services listed below. Clients choosing to
delay or defer a service must be counseled about the possible health risks associated with declining or delaying preventive
screening tests or procedures. Agency must obtain written documentation of declination. (Title X, section 8.3).
a. A complete medical history on all female and male clients at the initial comprehensive clinical visit. Refer to attached flow
sheet for contents of history. (Title X, section 8.3)
b. A complete physical examination on all clients (male and female) at the initial comprehensive clinical visit. Refer to
attached flow sheet for contents of physical assessment. (Title X, section 8.3)
c. Revisit schedules must be individualized based upon the client's need for education counseling, and clinical care beyond
that provided at the initial and annual visit. (Title X, Section 8.3)
d. For local agencies that receive Women's Health Service Funds, the agency agrees to comply with Chapter 769, Section 27.9
of the 1993 Session Laws regarding the budgeting and expenditure of Women's Health Service funds. (Women's Health
Resource Manual, Volume II) [16-5 (a-b)] This legislation also requires participating local agencies to counsel
ui patients/clients without a high school diploma about the benefits of completing high school or obtaining a G.E.D.
3. In compliance with the attached "Flow Sheet," lab tests must be obtained on all initial and annual visits, and test results must be
documented in the medical record. (As indicated on the "Flow Sheet," certain tests are not required if there is written
documentation of negative results in the last six months.)
4. Assessment for rubella and tetanus-diphtheria immunity will be documented in the client's record on all initial and annual visits:
a. At their initial visit, clients able to provide written documentation of rubella immunity will have this status documented in
their charts. Once immunity is documented, no further assessments are needed. Clients unable to provide this
documentation will receive either:
¦ a rubella titer and vaccination if susceptible, or,
¦ . a rubella vaccination.
b. Tetanus-diphtheria assessment includes documentation of tetanus-diphtheria vaccine within the last ten years. If no
documentation, Td vaccine should be given. If the source of the documentation is oral, then the source of the
documentation should be indicated in the record.
5. Education and Counseling
a. Agencies must have written plans for client education that include goals and content outlines to assure consistency and
accuracy of information provided. (Title X, section 8.1)
b. Client education must be documented in the client record. Required education offered outside the family planning clinic will
be assessed, documented, and updated as appropriate according to the needs of the individual family planning client. Refer
two to flow sheet for education requirements. (Title X, section 8.1)
Page ,6 of 17
10/2006
11
15A NCAC 21 A Page 1 of 1
l0A NCAC 43A.0206 DIRECT PATIENT CHARGES
(a) Local providers receiving Title X funds shall develop and implement policies designed to recover program costs' and
support the program's focus on low-income participants. These policies shall establish a method of directly assessing patient
charges and collecting payments for clinical services.
(b) Local providers shall use the model fee scale developed by the branch in determining patient charges unless an alternate,
locally-developed fee scale is approved by the branch prior to its use.
(c) Patient fee systems must have charges that are:
(1) based on cost analysis of services provided; and
(2) discounted (adjusted) according to the patient's ability to pay.
(d) There shall be no minimum fee requirement or surcharge that is indiscriminately applied to all patients.
(e) No patient charges shall be assessed when income falls below 100 percent of Federal Poverty Guidelines. No patient
charges shall be assessed to patients certified eligible for Medicaid, or in a Medicaid applicant status.
(f) Full charges shall be assessed if patient income falls at or above 200 percent of Federal, Poverty Levels unless a provider
believes that local conditions warrant delaying full charges until 250 percent of poverty. Then an alternate fee scale,
incorporating the higher full-pay level may be developed locally and then submitted for approval in accordance with
Paragraph (b) of this Rule.
(g) There shall be a consistently applied method of "aging" accounts.
(h) Bad debt write-off policies shall be established.
(i) No one shall be denied services based solely on the inability to pay.
0) In the absence of any changes in federal regulations affecting the delivery of services to minors and the assessment of
patient charges for services provided to minors, family planning project directors (Local Health Directors) may treat
unemancipated minors as "a family of one" and consider them on the basis of their own resources. In such cases, the minor's
income must be reported through the patient data system. Third-party sources (e.g., Title XIX and private insurance) shall be
billed if eligibility criteria are met.
(k) Patients shall be given a receipt each time a payment is collected.
(1) Donations shall be accepted from any patient regardless of income status as long as they are truly voluntary. There shall
be no "schedule of donations," bills for donations, or implied or overt coercion.
(m) Local fee policies that reflect these requirements shall be documented and available for inspection.
(n) Providers must use best efforts to continue to provide services to patients at or below 150 percent of Federal Poverty
Guidelines.
History Note: Authority G.S. 130A-124;
Eff. December 1, 1980;
Amended Eff. September 1990; July 1, 1983.
12
http:Hncrules.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/... 7/13/2007
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:® Consent Meeting Date:
Agenda: E] BOH: 08/01/07
.P CC: 09/04//07
Department: Health Presenter: Jean P. McNeil,
Animal Control Services Manager
Contact: Jean P. McNeil 798-7505
Subject: Revisions to New Hanover County Code, Section Five: Animals & Fowl
Brief Summary:
Suggested changes to the New Hanover County Code regarding control of animals as
enforced by Animal Control Services (ACS). Issues have been reviewed and supported
by County Legal, ACS staff, and the ACS Advisory Committee.
PROPOSED: Sec. 5-28 Animals awarded as prizes prohibited.
No live animal shall be given away, raffled or offered as a prize, premium or advertising
device for, or an inducement to enter, any contest, game or other competition involving
skill or chance.
CURRENT: Sec. 5-63(b). Procedure.
The owner may appeal the determination of a dangerous dog or potentially dangerous
dog. Notice of appeal is by filing written objections with the appellate board appointed
by the board of public health within ten business days after receiving written notice,
together with such appellant's filing fees as may be established by the county board of
health. .......The appellate board shall, within ten business days of the filing of the
appeal, schedule a hearing. .......Until the appeal is final, the dog must be controlled and
confined pursuant to the ruling from which the appeal was taken. Any appeal from the
final decision of such appellate board shall be taken to superior court by filing notice of
appeal and a petition for review within ten business days from the final decision of the
appellate board.
PROPOSED: Sec. 5-63(b). Procedure.
The owner may appeal the determination of a dangerous dog or potentially dangerous
dog. Notice of appeal is by filing written objections with the appellate board appointed
by the board of public health within ten business days after receiving written notice,
together with such appellant's filing fees as may be established by the county board of
health. .......The appellate board shall schedule a hearing of said appeal and the dog
owner and complainant will be notified of the hearing date ten business days prior to said
hearing. .......Until the appeal is final, the dog must be controlled and confined pursuant
to the ruling from which the appeal was taken. Any appeal from the final decision of
such appellate board shall be taken to superior court by filing notice of appeal and a
petition for review within ten business days from the final decision of the appellate board.
13
Recommended Motion and Requested Actions: Recommend for the Board of Health to
accept and approve the Revisions to the New Hanover County Code, Animals & Fowl,
Sections 5-28 Animals awarded as prizes prohibited & 5-63(b) Procedure and to submit
to the New Hanover County Commissioners for their consideration.
Funding Source: N/A
Will above action result in:
FNew Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Explanation: Received customer complaint regarding the sale of animals as prizes at
county fairs and other events. The citizen presented arguments before the ACS Advisory
Committee to support a ban on pets as prizes.
Clarification on the procedure for dangerous or potentially dangerous dog appeals
required rewording for better understanding of the process for hearing notification.
Attachments: N/A ,
14
14
Z
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
A enda: ? BOH : 08/01/07
Department: Health Department Presenter: David E. Rice
Contact: David E. Rice
Subject: Health Director Job Description
Brief Summary: Based on the North Carolina Local Health Department Accreditation
Standard: Governance, Benchmark 37, Activity 37.4, The New Hanover County Board of
Health shall review and approve the job description of the local health director.
Recommended Motion and Requested Actions: To approve the Health Director Position
Description.
Funding Source:
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
®No Change in Position(s)
Ex lanation:
Attachments: New Hanover County Position Description Questionnaire - Health Director
15
New Hanover County
POSITION DESCRIPTION QUESTIONNAIRE (PDQ)
1. BACKGROUND (Please print clearly or type) (Help? - Click here and hold mouse)
Reason for completing this form: ? New Position ? Reclassification ? Salary Upgrade
Name: David E. Rice Date: August 1, 2007
Current Job Dept.: Health Phone: 910.798.6591
Title: Health Director
Supervisor's Supervisor's Supervisor's
Name: Dr. Edward Weaver, Jr. Title: Chair, New Hanover County Phone: 910.395.5585
Board of Health
Total Time in Normal Work Hours: Work Week: Full Time
Current position: Start: 8AM
9 Year(s); 9 Month(s) If "part-time", please indicate
Finish: 5PM number of hours/week:
Do hours vary? Yes
II. POSITION SUMMARY (Help? - Click here and hold mouse)
To provide leadership as the chief executive officer of the New Hanover County Health Department
Page 1 16
New Hanover County
III A. ORGANIZATION RELATIONSHIPS (Help? - Click here and hold mouse)
1 Your Supervisor's Title Reminder - Click here and hold mouse
Chair
New Hanover County Board of Health
I
I
Your Title
Health Director
(2) (3)
Coworkers: Other Positions that Positions that Report to You (only
Report to Your those over which you have full Number of People Per Position at
Manager/Supervisor managerial/supervisory authority. Left [from (3))
(Titles onl ; not names)
N/A Deputy Health Director 1
Administrative Support 1
Coordinator
Animal Control Services Manager 1
Environmental Health Services 1
Manager
Human Services Agency Business 1
Manager
Personal Health Services 1
Manager
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New Hanover County
III B. CONTACTS (Help? - Click here and hold mouse)
lk4w
Title and Unit of Organization Nature of Contact
Board of Health Members (11) Policies and Procedures
County Manager Policies and Procedures
M
City and Town Managers Policies and Procedures
County Commissioners Policies and Procedures
City and Town Councils Policies and Procedures
State Legislators Policies and Procedures
U. S. Congressmen Policies and Procedures
Federal Officials Policies and Procedures
State Officials Policies and Procedures
Community Organizations Policies and Procedures
Concerned Citizens Assistance
News Media Information
%r Others As needed
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New Hanover County
IV. ESSENTIAL DUTIES
Essential Duties Decisions Required Frequency % of
DWMQAO Time
1. Relationship with New Hanover, Issues, needs and operation; W 10%
County Board of Health professional advice and
recommendation; interprets
board policy; supports board
policy and action; use of
board members as resources
2. Community Relationships With public and private W 20%
Groups; with news media
3. Staff and Personnel Relationships Develop and execute D 40%
personnel policies and
procedures; develop staff
morale and loyalty; delegate
authority; recruit and assign;
evaluate preformance
4. Public Health Leadership Understand and keep D 20%
informed on programs and
services; address public
health needs; develop and
evaluate public health
improvements
5. Business and Finance Address needs of facilities, D 10%
equipment, and supplies;
supervise operations; make
recommendations based on
needs; budgeting process
6. Personal Qualities Defend principles and D N/A
convictions; maintain ethics,
honesty, and integrity; earn
respect among collegues;
exercise good judgement;
devote time and energy to job
7.
8.
9.
10.
~.rr
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New Hanover County
V. SUPERVISION GIVEN (Help? - Click here and hold mouse)
Place an "X" if PHRASES N. of
applicable jco mpl ees
I do not officially supervise other County employees (sign
performance reviews).
X I evaluate and sign performance reviews of other regular 6
(non-temporary) employees.
I evaluate and sign performance reviews of part-time,
temporary or contract employees.
X I instruct other employees in methods or procedures needed to ALL
carry out their job (how to carry out their assigned duties).
X I make work assignments for others. ALL
X I make hiring and hiring pay recommendations. ALL
X I make hiring and hiring pay decisions. ALL
X I recommend pay changes. ALL
X I recommend termination for poor performance. ALL
X I make termination decisions. ALL
X I provide advice to peers that they must consider carefully
before making a decision.
Example: Community diagnosis process in surrounding
counties.
X I provide information to supervisors/management that they use
in making a decision.
Example: Health Department policy & procedures manual
development.
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New Hanover County
VI. PROBLEM SOLVING (Help? - Click here and hold mouse)
a. ased on verbal and written warnings, supervisor recommends termination of employee. After
eview of case and the predisciplinary conference, I make the decision for or against dismissal.
follow personnel (due process) guidelines.
b. hen new programs/services are recommended, a health assessment is conducted,
appropriate policies and procedures are developed. The process of planning, doing, checking,
and acting is followed. New programs/services are presented to the Board of Health for
pproval.
VII. NATURE OF ASSIGNMENTS (Help? - Click here and hold mouse)
1. If I see the need, I can change the following without my supervisor's approval:
Place an "X" if ITEMS I CAN CHANGE EXAMPLE
applicable
X The objectives I am trying to achieve (Refer to Operational objcectives are
page 1, Position Summary for the objectives). changed. Policies are
recommended to the Board of
Health.
X The means for achieving the objectives of my Use of strategic work teams to
job (i.e., my work methods or procedures of my accomplish the objectives.
work plan).
X The way assigned work methods are carried out By performing or delegating
(i.e., the order or frequency of my duties).
Give an example of how you have modified or developed new work methods to deal with
new or unusual circumstances on your job.
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New Hanover County
orked with Health Department Epidemiology Team to reduce the incidence of communicable
disease.
k
Page 7 2 2
New Hanover County
VIII. EQUIPMENT (Help? - Click here and hold mouse)
List the equipment you regularly use on your job (Examples - Click here and hold mouse). List the duty
number from Section IV - Essential Duties and the equipment you use to perform that duty. (Examples -
Click here and hold mouse)
DUTY EQUIPMENT USED
computer and printer
1
TV/DVD/VCR
2
Copier
3
FAX
4
Desktop Projector
5
Automobile
6
7
8
9
10
IX. WORKING CONDITIONS (Help? - Click here and hold mouse)
Place an "X" if CONDITION % of TIME
applicable
X Does Not Apply. (Proceed to section X.)
Hazardous physical conditions (mechanical parts, electrical
currents, vibration, etc.)
Atmospheric conditions (fumes, odors, dusts, gases, poor
ventilation)
Hazardous materials (chemicals, oil, etc.)
Extreme temperatures
Inadequate lighting
Work space restricts movement
Intense noise
Travel
Other:
Please describe:
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New Hanover County
X. EDUCATION AND EXPERIENCE
What minimum level of education do you believe is needed to satisfactorily perform your job?
Not necessarily your own level of education or that which is currently stated in your job description).
elect the level that applies to your job.
ther
f "OTHER", please explain: A
Master of Public Health (MPH)
What field(s) should training or degree be in? Health Policy and Administration
Are any state, federal or professional licenses or certificates requiredbyiaworstatute to enter your
ob? (Examples - Click here) Yes
f "Yes", please list:
C Statute 130A-40: Appointment of local health director
d). What minimum kinds of experience are needed to enter your job?
Type of Experience Minimum Time Required
Local Health Director 3 year(s) month(s)
year(s) month(s)
year(s) month(s)
year(s) month(s)
year(s) month(s)
year(s) month(s)
F
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New Hanover County
XI. REQUIRED KNOWLEDGE AND SKILL (Help? - Click here and hold mouse)
a. Knowledge
Knowledge Of: Essential Duty
#(s)
Public health policy and administration; assessment of population health 1, 2, 3, 4, 5
1. status; financial management of -public health services
Legislative and cultural issues confronting health departments; values 1,.2, 3, 4, 5
2. and ethical issues associated with public health; leadership, political and
communication issues
Human resources management; information technology; assessment of 1, 2, 3, 4, 5
3. organizational performance
Health promotion and disease prevention; animal control services; vital 1, 2, 3, 4, 5
4. records; disaster services; epidemiology; child health services; school
health; case management; mental health; dental health; environmental
health including soils and water, food and lodging, and vector control;
laboratory services; nutrition services; and women's health care services.
5.
6.
7.
8.
b. Skills
Skill In: Essential Duty
#(s)
Interpersonal communication skills 1, 2, 3, 4, 5
1.
Management skills including: planning, delegation, monitoring, 1, 2, 3, 4, 5
2. mentoring, empowering, and holding people accountable
Continuous improvement process and techniques 1, 2, 3, 4, 5
3.
Team building 2, 3, 4, 5
4.
Leadership 1, 2, 3, 4, 5
5.
Preparing and presenting information, both written and oral 1, 2, 3, 4, 5
6.
Human relations skills 1, 2, 3, 4, 5
7.
Financial management skills 1, 4, 5
8.
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Y
New Hanover County
XII. PHYSICAL ACTIVITIES/REQUIREMENTS (Help? - Click here and hold mouse)
*top'
Frequency Importance Physical Activity
5-Daily 1-Somewhat Climbing: Ascending or descending ladders, stairs, scaffolding,
Important ramps, poles and the like, using feet and legs and/or hands and
arms. Body agility is emphasized. This factor is important if the
amount and kind of climbing required exceeds that required for
ordinary locomotion.
0-Never Balancing: Maintaining body equilibrium to prevent falling when
walking, standing or crouching on narrow, slippery or erratically
moving surfaces. This factor is important if the amount and kind of
balancing exceeds that needed for ordinary locomotion and
maintenance of body equilibrium.
4-Weekly 1-Somewhat Stooping: Bending body downward and forward by bending spine
Important at the waist. This factor is important if it occurs to a considerable
degree and requires full use of the lower extremities and back
muscles.
3-Monthly 1-Somewhat Kneeling: Bending legs at knee to come to a rest on knee or knees.
Important
3-Monthly 1-Somewhat Crouching: Bending the body downward and forward by bending
Important leg and spine.
0-Never Crawling: Moving about on hands and knees or hands and feet.
3-Monthly 1-Somewhat Reaching: Extending hand(s) and arm(s) in any direction.
Important
4-Weekly 2-Very Standing: Particularly for sustained periods of time.
Important
~4w 5-Daily 3-Extremely Walking: Moving about on foot to accomplish tasks, particularly for
Important long distances.
3-Monthly 1-Somewhat Pushing: Using upper extremities to exert force in order to draw,
Important drag, haul or tug objects in a sustained motion.
3-Monthly 1-Somewhat Pulling: Using upper extremities to exert force in order to draw,
Important drag, haul or tug objects in a sustained motion.
4-Weekly 2-Very Lifting: Raising objects from a lower to a higher position or moving
Important objects horizontally from position-to-position. This factor is
important if it occurs to be a considerable degree and requires the
substantial use of the upper extremities and back muscles.
5-Daily 3-Extremely Fingering: Picking, pinching, typing or otherwise working, primarily
Important with fingers rather than with the whole hand or arm as in handling.
5-Daily 3-Extremely Grasping: Applying pressure to an object with the fingers and
Important palm.
4-Weekly 2-Very Feeling: Perceiving attributes of objects, such as size, shape,
Important temperature or texture by touching with skin, particularly that of
fingertips.
5-Daily 3-Extremely Talking: Expressing or exchanging ideas by means of the spoken
Important word. Those activities in which they must convey detailed or
important spoken instructions to other workers accurately, loudly or
quickly.
5-Daily 3-Extremely Hearing: Perceiving the nature of sounds with no less than a 4 db
Important loss @ 500 Hz, 1,000 Hz and 2,000 Hz with or without correction.
Ability to receive detailed information through oral communication,
and to make fine discriminations in sound, such as when making
fine adjustments on machined parts.
5-Daily 3-Extremely Seeing: The ability to perceive the nature of objects by the eye.
26
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New Hanover County
Important Seeing is important for hazardous jobs where defective seeing
would result in injury and also jobs where special and minute
accuracy, inspecting and sorting exist. A high degree of visual '
efficiency, placing intense and continuous demands on the eyes by
moving machinery and other objects are also considered important.
Other important factors of seeing are acuity (near and far), depth
perception (three dimensional vision), accommodation (adjustment
of lens of eye to bring an object into sharp focus), field of vision
(area that,can be seen up and down or to the right or left while eyes
are fixed on a given point) and color vision (ability to identify and
distinguish colors).
5-Daily 3-Extremely Repetitive Motions: Substantial repetitive movements (motions) of
Important the wrists, hands and/or fingers.
Frequency Importance Physical Requirements
5-Daily 3-Extremely - Sedentary: Exerting up to 10 pounds of force occasionally and/or a
Important negligible amount of force frequently or constantly to lift, carry,
push, pull or otherwise move objects, including the human body.
Sedentary work involves sitting most of the time. Jobs are
sedentary if walking and standing are required only occasionally
and all other sedentary criteria are met.
4-Weekly 2-Very Light Work: Exerting up to 20 pounds of force occasionally, and/or
Important up to 10 pounds of force frequently, and/or a negligible amount of
force constantly to move objects. If the use of arm and/or leg
controls requires exertion of forces greater than that for Sedentary
Work and the worker sits most of the time, the job is rated for Light
Work.
3-Monthly 1-Somewhat Medium Work: Exerting up to 50 pounds of force occasionally,
Important and/or up to 20 pounds of force frequently, and/or up to 10 pounds
of force constantly to move objects.
2-Quarterly 1-Somewhat Heavy Work: Exerting up to 100 pounds of force occasionally,
Important and/or up to 50 pounds of force frequently, and/or up to 20 pounds
of force constantly to move objects.
0-Never Very Heavy Work: Exerting up to100 pounds of force occasionally,
and/or in excess of 50 pounds of force frequently, and/or in excess
of 20 pounds of force constantly to move objects.
XIII. ADDITIONAL COMMENTS
Are there any additional comments that you would like to make to be sure you have described you job
adequately?
27
Page 12
FOR STD ONLY: ? VOL. ? EPI. ? SCREEN N.C. Department of Health and Human Services - Division of Public Health
NORTH CAROLINA COMMUNICABLE DISEASE REPORT CARD
E FOR ALL REPORTABLE DISEASES EXCEPT CANCER-REPORT ONLY ONE DISEASE PER CARD
Patient's Name
Last First Middle/Maiden ? M ? F -
Was this Hospitalized
Date of Re ort / / Date ofOnset / / Disease Fatal? ? Yes ? No For this Disease? ? Yes ? No
Patient's Address: Street or RFD No. Phone
Ethnic Origin / -
ENTER CODE Race
FOR DISEASE ? White ? American Indian or Alaska Native ? Hispanic City Zip County
REPORTED 13 Black ? Asian or Pacific Islander ?Non-Hi
(see other side) spanic
Birthdate Age Site of Care: ? Active Military Location Where Acquired (if other than county or residence)
-Years ?SAME
OR_Months ? Public ? Private
Parent or Guardian (ofminors)
*Required Information for Codes or
is:
6,9,13,23,25,27,38,54,55,61,68,74,2 0, TB: ? Child or Worker Reported By (Full Name and Title)
Causative Organism: in Day Care
[Encephalitis, arboviral (9), Other Foodborne Disease (13), Viral ? parent of Child Agency and Address
Hemorrhagic Fever (68)] in Day Care
Serotype: ?Foodhandler Attendin Physician if not individualreportingcase)
[Vibrio cholera (6), Hemophilus influenzae (23), Meningitis, Pneumococcal (25), ? Health Care Worker g y
Meningococcus (27), Salmonella (38), Vibrio, other (55)] ? None of Above Phone
Site of Infection: Address / -
[Hemophilus influenzae (23), Meningococcus (27), Vibrio vulnificus (54), Sat-HD Use Only.
Case Investigation No.
Group A Strep. (61), Staph. aureus reduced suscept. to Vancomycin (74), outbreak related: Surveillance Form
Chlamydia (200), Tuberculosis (TS)] ? no ? yes; ? Completed ? Not Required
COMMENTS: specify: Local Health Director's Signature or Stamp Clinic No.
DHHS 2124 (Revised 3/07) EPIDEMIOLOGY
? Surveillance Form Required PLEASE ENTER CODE NUMBER IN BLOCK ON FRONT OF CARD 'Add'I Information Required on Other Side of Card
CDC BIOTERRORISrDEPARTMENT OTHER REPORTABLE COMMUNICABLE DISEASES (continued) SEXUALLY TRANSMITTED DISEASES
REPORT IMDIPHTHERIA d HEPATITIS C, ACUTE 60 RUBELLA CONGENITAL 'SYNORO 37 REPORT WITHIN 24 HOURS
TO LOCAL HEALTL COLT, SIHBA 10XIN- HIV INFECTION 900 SALMONELLOSIS •3d SYPHILIS
ANTHRAX PRODUCING INFECTTOET 1ANrLU NZA MTN S.A." (Ceronarim 1pbdhW )7 PRIMARY (lesion present) 710
(islsrdlns L-aot57:11zi 53 (<18ya old) 73 - - SECONDARY skin or
ENRLICHIOSIS, GRANULOCYTIC 511 - SHIGELLOSIS 39
IBFLNENIA, NOVEL YIRNS LEGIONELLOSIS 18 R~ AURE9%2EDUCED mucosal lesions) 120
INFECTION 75 EHRLICHIOSIS, MONOCYTIC LEPROSY (HANSEN DISEASE) 19 SUSCEPL TO YAMCOINTON ..74 EARLY LATENT 1 yr) 730
PLANE 49 (E.choHeensis) 572 LEPTOSPIROSIS 20 STREPTOCOCCAL INFECTION, LATENT, UNKNOWN DURATION 740
TULASMALLPOX 69 ENCEPHALITIS, UNSPECIFIED 573 LISTERIOMS 64 GROUP A, INVASIVE DISEASE '61 LATE LATENT 1 yr) 745
MEMIA 43 ENCEPHALITIS, ARBOVIRAL
VIRAL NAORRMAOIC FEVER *641 (CAL, EEE, WNV, OTHER) +9 LYME DISEASE 51 TETANUS 40 LATE WITH SYMPTOMS 750
MALARIA 21 TOXIC SHOCK SYNDROME 41 NEUROSYPHILIS 760
OTHER REPORTABLE FOODBORNE DISEASE:
COMMUNICABLE DISEASES C. perbingens I I MEASLES 22 TOXIC SHOCK SYN., STREPTOCOCCAL 65 CONGENITAL 790
ACQUIRED IMMUNODEFICIENCY STAPNYLOCOCCAL 12 MENINGITIS, PNEUMOCOCCAL "25 TRICHINOSIS 42 GONORRHEA
SYNDROME (AIDS) 950 OTHER or UNKNOWN '13 TwRCV1MS .1, GENITO-URINARY non-PID) 300
HANTAVIRUS INFECTION 67 MMNWOCCAL NR M •27
BRUCELLOSIS 5 MONKEYPOX 72 rIFF0 B, ACUTE 44 OPHTHALMIA NEONATORUM 345
CAMPTLOBACTER INFECTION so ~ #RiAHC MUMPS 20 'TYPHOID CARRIER 144 GRANULOMA CHANCROID INGUINALE 500
* so 100
tNKUA 6 POLIO, FARMTITC 3D TYPHUS, EPIDEMIC (louse-borne) 46
NIMIWMkLUS (MFLMi'MIAi, . OTHER STDs -REPORT WITHIN 7 DAYS
CREUTZFELDT-JAKOB DISEASE INYAS111EM$Uff -23 PSITTACOSIS 31 YACCINA 7D
(UD/rUD) 66 MPANMA 14 Q FEVER 32 -ETMMtO IINFECTION, OTHER •s3 CHLAMYDIA Lob confirmed `200 VENEREUM tM7MPON?BIOSLT S6 NEPATIMSR, ACUTE 15 RABIES, HUMAN 33 WIWO YKIHRCMS LYLIPHOGRAN ULOMA ed CHL M 600
Other than lab-confirmed CHLAYDIA:
CTCLG$PORMM U "HEPATITIS B CARRIER 115 ROCKY MOUNTAIN SPOTTED FEVER 35 WHOOPING COUGH (PERTUSSIS) 47 NONGONOCOCCAL URETHRITIS (NGU) 400
DENGUE 7 ATIPAT/TIS B, PERINATAL 116 RUMELLA $6 YELLOW FEVER 48 PELVIC INFLAMMATORY DISEASE 490
Report within 24 hours for diseases in Bold Italia and 7 days for all other diseases.
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WEDNESDAY, JULY 11, 2007
STAR-NEWS NEW HANOVER NEIGHBORS
SCOTT
NUNN.
BACK THEN
Bad shrimp
leads to
fracas at
market
This historical perspective,
compiled from past Star-News
articles, takes readers back to
the Cape Fear region of 25, 50
and 100 years ago.
100 years ago
%w? JULY 11,1907: The state board
of education announced that a
43-acre, $8,000 plot of land in
Greenville will be the home
for the planned East Carolina
Teachers Training school.
Other towns in the running
were Washington, ' Rocky
Mount, Elizabeth City, New
Bern, Tarboro and Edenton.
JULY 14, 1907: The society
column noted: "One of the
boys said yesterday there are
over fifty young ladies visiting
Wrightsville now and they are
all sweet as peaches."
JULY 14, 1907: Dr. Charles
T. Harper, superintendent of
health, and Mr. W.M. Sneeden,
a dealer in produce, came to
blows at Front Street market
after Dr. Harper said shrimp
being sold by Mr. Sneeden
were "no good." The vendor
accused Dr. Harper of taking
the action on behalf of a rival
dealer. The two men came
together in fast and furious
shape until the affray was bro-
ken up by police.
Public Health Foundation of New Hanover County
~Nw Board of Directors
Lenwood S. "Bo Dean Jr.
University of North Carolina at Wilmington - Honors Scholars Program as a
Program Assistant; UNC-W staff since 1999
Dr. Tad Dunn
Pulmonologist from Coastal Pulmonary Medicine. Former Chief of Staff at
NHRMC
Dr. Michael Goins
Doctor of Optometry; Past President of Thalian Hall Center for Performing Arts;
12 years of New Hanover County Board of Health
Ms. Marv Margaret McEachern
Attorney At Law (also Practitioner of animal law) presently attending University of
North Carolina at Wilmington pursuing Study of Physics and Mathematics
I~kw Dr. Paul Covington
Executive Regional Medical Director of Pharmaceutical Products Development
(PPD) (also Executive Director of Development)
Ms. Margo Reynolds Miars
Teacher at Hoggard High School (NHCSS) - teaching Mathematics many years
I~e
New Hanover County,
Animal Control Services
Advisory Committee
Meeting Minutes 07/11/07
Present: John Boozer, JoE Needham, Martha Raynor, Whitney Doremus, Dianne Connor, Bob Weedon
Absent: Grethce4n Colby (ex), Cindy Myers (ex), Patrice Kaizar (ex), Joyce Bradley (ex)
Old Business
1. Landscaping.
This has been moved to fall, so the plants have a better chance of
living. Dave said it is better to plant in the spring or fall due to greater
possibility of rain to sustain the plants.
2. Co-location shelter.
Jamie Kilgore is our Incident Commander, Daisy Brown will cover
registration, Rhonda Nealey is over cats, and Doris Buchanan is over
dogs. We also have county workers and volunteers. Thanks to
Martha, our Humane Society volunteers will help with set up.
3. Ashley HS w/ Karen Campbell.
No news here. Patrice hasn't given an update.
4. Additional ordinance changes/updates.
a. Restriction of animals given as prizes at county fairs.
We agreed to use the verbiage from Brunswick County. It
reads, No Live animal shall be given away, raffled, or offered
as a prize, premium or advertising device for, or an inducement
to enter, any contest, game, or other competition involving skill
or chance."
b. Update to vicious dog ordinance language.
This will wait until we have time to discuss it further.
c. Ability for entire ACS staff to sign citations.
We will not pursue this avenue due to authority issues.
d. Change time frame on DD hearing notification.
Jean will get Legal to come up with some good wording.
5. CDC - Rabies Awareness Day Sept 8.
Our UNCW pre-veterinary group has agreed to do an on-campus no
coats rabies clinic from 1-3 p.m. on this day. It happens to be the
same day as the Dog Jog, so we'll ask people to set up displays with
us, too. Vaccine donations from the Humane Society, Hanover
Kennel Club, and College Road Animal Hospital will be added to the
use of a tent from Friends of Felines. Thanks for helping the day of
the event, too!
New Business
1. ACS staff.
The eighth ACO position was not approved this year.
2. Division image concerns.
County management said ACS should work on our public image to
gain community support for the work we. do here. The group
brainstormed on different ideas to help in this area.
3. ACS newsletter.
This was mentioned as a suggested image-booster.
4. Compassion Fatigue & Burnout.
This is either September 27 or 28. All are welcome to attend.
5. Public Health Forum - July 31.
This is a repeat to include lay staff. Please come.
6. Environmental Health Training (Dr. Carl Williams).
This is set for August in Greensboro. (It will be another presentation
of the forum.
7. Member rotations & committee make-up.
Some concern voiced about those groups that have few members to
rotate out for replacements. We may need to allow exemptions in the
by-laws to these on membership.
8. Committee meeting dates.
Next meeting is set for October 17.
9. Building community partners.
We have a lot going on here, with UNCW and area veterinarians.
10. Where do we go from here?
We've got a good start!
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