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09/05/2007
New Hanover County Health Department Revenue and Expenditure Summaries for July 2007 Cumulative: 8.33% Month 1 of 12 Revenues Current Year Prior Year Type of Budgeted Revenue Balance % Budgeted Revenue Balance % Revenue Amount Earned Remaining Amount Earned Remaining Federal 8 State $ 1,890,709 $ - $ 1,890,709 0.00% $ 1,881,139 $ - $ 1,881,139 0.00% AC Fees $ 640,161 $ 46,540 $ 593,621 7.27°k $ 611,161 $ 48,537 $ 562,624 7.94% Medicaid $ 1,602,931 $ $ 1,602,931 0.00% $ 1,839,994 $ $ 1,839,994 0.00% Medicaid Max $ 309,128 $ - $ 309,128 0.00% $ 17,000 $ $ 17,000 0.00°k EH Fees $ 310,000 $ 22,847 $ 287,153 7.37% $ 310,000 $ 22,896 $ 287,104 7.39% Health Fees $ 345,200 $ 26,941 $ 318,259 7.80% $ 234,200 $ 19,759 $ 214,441 8.44% Health Choice $ 35,125 $ 824 $ 34,301 2.35% $ - $ - $ Other $ 3,595,047 $ 354 $ 3,594,693 0.01% $ 2,637,125 $ 2,475 $ 2,634,650 0.09% Totals $ 8,728,301 $ 97,507 $ 8,630,794 1.120% $ 7,530,619 $ 93,667 $ 7,436,952 1.24% 'Note: The Prior Year's revenue has been corrected due to last year's timing of year end accounting adjustments. At the time this report was generated last year, revenue was posted to July 2006, but was actually for the previous fiscal year. Expenditures Current Year Prior Year Type of Budgeted Expended Balance % Budgeted Expended Balance % Expenditure Amount Amount Remaining Amount Amount Remaining Salary & Fringe $ 13,700,368 $ 475,340 $ 13,225,028 3.47% $ 12,077,735 $ 457,814 $ 11,619,921 3.79% Operating $ 2,193,309 $ 71,765 $ 2,121,544 3.27% $ 2,014,443 $ 114,413 $ 1,900,030 5.68% Capital Outlay $ 25,900 $ $ 25,900 0.000 $ 81,400 $ 7,185 $ 74,215 8.830 Totals $ 15,919,577 $ 547,105 $ 15,372,471 3.44% $ 14,173,578 $ 579,413 $ 13,594,165 4.09% Summary Budgeted Actual % FY 07-08 FY 07-08 Expenditures: Salaries 8 Fringe $ 13,700,368 $ 475,340 Operating $ 2,193,309 $ 71,765 Capital Outlay $ 25,900 $ - Total Expenditures $ 15,919,577 $ 547,105 3.44% Revenue: $ 8,728,301 $ 97,507 1.12% Net County $ 7,191,276 $ 449,598 6.25% Revenue and Expenditure Summary For the Month of July 2007 8 NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 07-08 and FY 06-07 Date (BOH) Grant Requested Pending Received Denied 8/1/2007 No Activity for August 2007 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 6/6/2007 Landfall Foundation - Request for funds to purchase 16 wheelchairs for the NHCHD School Health Nursing Program. $2,700 $2,700 512/2007 Living Well: Received notification from Cape Fear Memorial Foundation of continuation . funding for the publication of the Living Well newspaper insert. $0 $12,000 41412007 Ministering Circle (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 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 3/712007 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 2/712007 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 Smart Start - New Hanover County Partnership for Children - Child Care Nursing Program $178,500 $170,000 $8,500 121612006 Duke Endowment Funds, NHRMC - Dental Unit - Personal Health Services. $25,000 for indigent dental care and $15,000 for sedation equipment $40,000 06,000 $10,000 111112006 No Activity for November 2006 1014/2006 March of Dimes - Maternity Care Coordination expenditures for Baby Love Program Baby Boutique and Learning Center $3,000 $3,000 91612006 No Activity for September 2006 8/2/2006 No Activity for August 2006 29 As of 8/13/2007 NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 07-08 and FY 06-07 Date (BOH Grant Requested Pending Received Denied 7/512006 Child Service Coordination Family Counseling Program (Cape Fear Memorial Foundation) - Funding for Licensed Clinical Social Worker for 3 ears $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 $793,295 $27,700 $345,016 $432,579 3.49% 43.49% 54.53% Pending Grants 2 17% Funded Total Request 5 42% Partial/ Funded 4 33% Denied Total Request 1 8% Numbers of Grants Applied For 12 100% 30 As of 8/13/2007 e r NEW HANOVER COUNTY BOARD OF COMMISSIONERS Request for Board Action Agenda: Consent Meeting Date: Agenda: ? BOH - 9/5/07 (BOH Only - no Board Action Request to be submitted for Co Comm Mt g) Department: Health Presenter: Kim Roane, Business Manager Contact: Kim Roane 798-6522 Subject: Request to Approve Health Department Organizational Chart Brief Summary: The New Hanover County Health Department (NHCHD) requests the approval of the organizational chart, revised to include the new positions added via the fiscal year 2007-08 budget as adopted by the NHCHD Board of Health and New Hanover County Commissioners. Positions added include 15 School Mental Health employees (1 licensed clinical therapy supervisor, 1 fiscal support technician, 13 licensed clinical therapists) and 2 public health nurses (PHNs) in the School Health program. We deleted 1 program coordinator in United for Youth (6177) and 1 PHN supervisor in Navigator/Partnership (6125) as a result of the expiration of grant funding. One additional position was added mid-year and is shown in this updated chart: Licensed Clinical Social Worker for Family Counseling Services funded via Cape Fear Memorial Foundation. Previous total: 206 budgeted positions. New total: 222 budgeted positions. Recommended Motion and Requested Actions: To accept and approve the adoption of the revised NHCHD Organizational Chart 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) Explanation: Position changes were approved in the FY 07-08 adopted budget. Attachments: NHCHD Organizational Chart 31 BIL CL a p w Cl) O O 00 E r y _o '0 £ a w a y w w = aa) a w m n m E m = w C U C _ y a' E w = m x Ti N Q _ fv ~ v U aD m - N v N ~ m ~ ~ a1 L W _ _ U N Y (n QI rn c ° ) pp a v C CL C 7 O N !n O- O p co cr _ O 0 C O 0 N r j U) n a y 0 0. 7 j Q n N O h U co v CD 7 7 a > 0 a W CL U) v7 E T c co N m c p cq U. E E UL N 0 0 E iI ii c Q co c c Q Q ~n m C c LL ¢ _o E Q co m LL x c co m E S CO iA (q O a in v y U y O N N N co N a/ C L m m cn E •m CO v~ `o U n a) y E 12 v E n E 0 c) n ^ m e o a a 2 0 > w = a w a x z a w a 20 X: U w x W w x x E w w w d O U 1N c o c O W a f) C0 r C > ^ U r E > m .r. > CL m c Q c ¢ C C > N Q. Cl. ° E aN7 > ~k a In fI) Cl) Q 10 Q U n O N C m « .0.. h U C 'D NN d L fn Q Q Q Q U. Cl) N Q C o `O U E Q c o ^ v Y L~j m a) N N > N N V7 n O m co m C ZL.• ~ v aj O. N CO L' z y a~ a' crs x > ° •L N 5 ° W F z m ° ° m Q z c d N c to w c a~i z 'a E Lo CL_ U) Cl) U rn y O T x d E C _O C t U 0 co U) a a V a a' U o Z v x U O cm 7 7 O Q 7 a N c a a z m . in n v~ n cn Z a) N 7 U 2 a E2 C Ln L) ~ r a) to L r W m co d _ t0 C m m m m .0 m a1 N 7 y La ~ _ 7 U C C O z (n in z .r.. J ~ Q z 15 Z C O U N O ~ r O N w z m m m _E r U Cl) -20 0, U) a ami Q JE _E L° cc H y fl a~i a co a) a J H CL C3 2 O° 32 3: NN zu R NEW HANOVER COUNTY BOARD OF COMMISSIONERS Request for Board Action Agenda:® Consent Meeting Date: Agenda: ® BOH: 9/5/07 CC: 9/17/07 Department: Health Presenter: Janet McCumbee, Personal Health Services Manager Contact: Janet McCumbee 798-6559 Subject: Request for New Regular Full Time Public Health Nurse (PHN) Position - Community Health, Personal Health Services Brief Summary: This request for a full time PHN position is based on the need to staff two programs that have been staffed by the use of two part-time temporary nurses. One of the part-time nurses recently left the Wise Woman Program, and the part-time nurse for the Good Shepherd Clinic took on the responsibility and additional hours to provide services for the Wise Woman clients. The state funds for the Wise Woman Program (12 hours per week) and the grant funds for the Good Shepherd Clinic (28 hours per week) together will support a regular full time PHN position with benefits. No additional office space is required, as this position works primarily in the off-site Good Shepherd Clinic and in existing space in the Health Dept. assigned to the Wise Woman Program. Recommended Motion and Requested Actions: To accept and approve use of the Wise Woman and Good Shepherd grant funds to support a new full time benefited PHN position for the Personal Health Services Divisiond and submit to the New Hanover County Commissioners for their consideration. Funding Source: State and local grants. No matching funds required from County. Will above action result in: ®New Position Number of Position(s) ?Position(s) Modification or change ?No Change in Position(s) Explanation: Explanation: The nurse currently working as a temporary in these two programs would be put into a full time regular position as long as grant funds are available. Position would be eliminated if rant funds are eliminated. Attachments: N/A 33 NEW HANOVER COUNTY BOARD OF COMMISSIONERS Request for Board Action Agenda: Consent Meeting Date: Agenda: ® BOH: 9/5/07 CC: 9/17/07 Department: Health Presenter: Janet McCumbee, Personal Health Services Manager Contact: Janet McCumbee 798-6559 Subject: Request for Reclassification of Physician Extender (PE) Position to Physician - Clinic, Personal Health Services Brief Summary: We currently have two (2) vacant Physician Extender Positions (vacated 3/07 and 6/05), with no success in filling these positions. We request that the two vacant PE positions be combined into one (1) position, reclassified as a Physician, combining the existing salaries currently included in the adopted budget to fund the higher level classification for the Physician position. Human Resources did a salary analysis in the Spring 2007, resulting in an increase in the starting salary of the PE positions; however, that has still not resulted in viable candidates after multiple recruitment efforts. We do not have an adequate number of providers in our clinic at the present, and this is limiting our ability to provide clinic services. There are additional coverage needs beyond our core clinical services (child health, women's health, and sexually transmitted disease f services). Our physicians who have staffed our Neurology Clinic for many years have resigned from the clinic and we need backup for our Colposcopy Clinic and Behavioral Health Services. We would like to use the salary funds from both vacant positions to recruit a physician who can meet all our service needs. No additional county funds are needed beyond those currently budgeted for the two existing positions, which, when combined, will sufficiently cover the cost of the one Physician position. Recommended Motion and Requested Actions: To accept and approve reclassification of a Physician Extender position to a Physician position, delete one vacant Physician Extender position, and use salary already included in the adopted budget for the two (2) vacant PE positions to fund the reclassified position and submit to the New Hanover County Commissioners for their consideration. Funding Source: Existing salaries included in current adopted budget for two (2) existing PE positions. No additional County funds required Will above action result in: ONew Position Number of Position(s) ®Position(s) Modification or change []No Change in Position(s) Explanation: Failed recruitment efforts for PEs have necessitated a change; lack of 34 physician coverage for Neurology Clinic has heightened the serious nature of clinician coverage. vI'7 Attachments: N/A rrr~ Sri 35 The North Carolina Office of Public Health Preparedness kso~ and Response . and the Public Health - Regional Surveillance Teams . . . 4 O c Ln (L) a) s TZ u C O C O }vii c u s a) a) - vyi CL a ° ° s a LL, a ° ° v a u 3 a) 'Q a) T Q D _O _0 N a) o uu a) s o a) -0 y a) Q c N vi N 0 0 0) u c :D _ O -0 U) a p C c S O O O E -O a) 72 o -D C V' O T u N u n c C O E 3 a) c p a) c o a) C .O C n O .0 s a) O O C O/) c- vNi N > a D v E ° a a ° p nCC 'C o C C c M c Q a) G 8-0 Q) 0),c c u L n (1) O c._ d c Z Q rn w O.. -o O u O a o O a a (L) Q v- a) O a -a ~ 0 c> c a) ms_~u'-o aS~s~,0 o C))-Soa~o 0~E .d O N s p p ON = s I- p N O -p 'n C) .0 u u p o Q ~r1 O s -0 O) 0 a) a O O~ - V) v N o L3) - v> C S O N u c F- 4) N N N FN C L h a) O --p c O o O~ V, 0 Ln CL .P4 D u:a O u ck~ _0 S o vi T C - L N o N U N _ _ X u v N c Q S W y -u c (n 0 Q UO a) O t >O S C C o N a) ± O s D_ a N C cn D 0) L- N o N S C Q O ?r O C C m o T o p s a Vl S a o s N } -a a) V) c V) (FI N O a) > C N Q u C a) N c O a) c O C C a) L N 0 (n O a O a o > o> u a p u -a u Q a) a c~ s O~ s Q s N °c_' m o u o a 0 Q) E oou a o a) H O o- 3 C u c o o in E a) m a d 0- --c o Q TS • s a) - • o o •D u a G1 b 0- a) c- ' N o a s a (1) a t-0 s> c) -2 E Rim Al A A if r (n N- n no rn N rn n - ~ < O ~ ~ S N N o CD Q N j' 7 Q CO:: S O S Q CQ n Q N cy- r "Q CQ N (D CQ CD • • Q 3 n Q SCD O (D Q-- Q C/) Q_ , _0 O S (D (D S (D C y C Z C 7 (D _0 S U- rn n rn n Q_ 70 -0 (D Q (D CO Q Z p (D N sn 3 nn O CO -0 o~ U- O Z 3 sN S s 0 (D Q (D 3 Q O Q a- p - (D n s m 1112 z C) CD 3 (D 0 D, c ° (Q (ND CD (D 3 m n n m o s Q_ Q r) Q s Q n m Q 3 N rn= Q (D L o a n s r Q W-0 CD 3 s D Q N O C)- Q c° Q Q p 3 -0 ( D O Z +CD p ~O 0 m Q Q Q O c ~ (n QQ 0 c D N Q -0 (D 3 O 'n N C) Q n (D p N -Q Q Q n 7 O CD 7 y. 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Er rcw w..x Bioterrorism and Biocrime The World Brought Closer To Home Use of biological and chemical 9/11/2001 agents goes back to antiquity. rrr.' - Consequences are typically: • Mortality (deaths) • Morbidity (illness and incapacitation) • Economic (imposition of hardships) • Political (elimination of rivals, succession) Fears, doubts, and lack of information'.: will inflame the public consciousness You Got Mail V The Category "A" Agents 4rn 6„•fi FR,xN„xRRx NJO)rs2 _ . C • Anthrax (Bacillus anthraces) J64ATeR La.r )eM B,IatA - ~"-'r H3 Awu, 5,•„r• opKe NBC Ty w • Smallpox (Vario/a Major) B nLNxN MWx'rwTn lC 2oljo-fso2 -30 R-WFE.LL.'t • Plague (Yersinia peStis) _ W>c ~tY»rlarI_ . Botulism (toxin(s) of Clostridium botu//num) Tularemia (Francise//a tu/arensis) [.,n f.,r NJ •Mli f 5 Viral Hemorrhagic Fevers (Ebola, et. al.) 1211 A,f 58°1 x.' 5-,rr o-.Lf 3 BACTERIA, 2 VIRUSES, 1 TOXIN ~r? 1 L North Carolina WHAT is a PHRST? Public Health Regional Surveillance Teams ? The Public Health Regional Surveillance Teams are: Region 5 - Greensboro Region 4 - Rbje g GuRford County _ Wake County - - A State resource (NC Division of Public kffKon*e Ashendile - - Health), with regional coverage, hosted by f C= county health departments, which can be consulted or called out for public health _ - survelliance, planning, and response. Region e g Coun 7 - C County y- Region I - GreerMlle r Raponcumx kM cmniry _ Ntt County Region 2 - W9ronyton • , No a laa • New Hr er County Public Health _ F ~mr WHAT is a PHRST? PHRST-2. ? continued - The teams augment the counties' public health response. They do *NOT* replace a )anelle Rhyne, MD, FACP - Team the county health system. Leader / Physician Epidemiologist - Developed as a response to bloterrorism )ohnna Preston, RN - Nurse Epidemiologist a Alene Hinson - Administrative Support Technician NO Caro imi Public Health Pub* Heahh Reylonal SorvelHance Team - Reglon2 PHRST-2 Mission Dtlplin On•low Pew o To build, promote, and support local ~J public health capacity to prepare for „ r and respond to public health 2029 Swq nn sb.es emergencies in coordination with local, ~ : Mg°'°' regional, state, and federal resources. Fu: (910)798.SM Web Sae: www.pnng2.org A"N hhlir llnllh To \i 2 Potentially Hazardous Sites in w ; Region 2 PHRST 2 Roles r 1 International airport (ILM) > Several regional airports ? dePartnership velopment 2 state ports (Wilmington, Morehead City) development > 1 nuclear plant (Southport) ? Surveillance Military Installations (Camp Leieune, Sunny • Education and Point Military Terminal, New River Air Station) training 2 U.S. Coast Guard Commands & a stations • Consultation for Numerous bridges & rail yards/switches all hazards Ferry services ? Preparedness r Industrial complexes (GE, DAK, International • Response Paper, Corning) ? Augment Numerous Farms (Murphy Farms, Caroi{na Outbreak Turkeys) Investigations F Services Provided By PHRST-2 Services Provided By PHRST-2 • Needs Assessment and/or Support • Outbreak Investigations ?Training: • Information dissemination & risk communications - Handheld Computer / GIS / GPS presentations • Public Health Preparedness Plan Review / Consultation -WEB EDC Including SNS, Smallpox, Pandemic Flu, All-Hazards, - Health Alert Network (HAN) Isolation /Quarantine, Sheltering • Consultation For and/or Participation In County and -UHF Pack Carried Radio Training Regional Exercises/ Drills - Microsoft Streets and Trips • Resource for Information on Disaster Planning and Public i• Health Preparedness • Coordination of Regional Public Health Preparedness Efforts and Partnerships • Respiratory Protection Training / Fit-Testing • Assistance with Database / EPI Info Form Creation-ftx Health Preparedness Exercises and Projects x Personal Protectjye_F.siuipment (PPE) Technology Training k i -NC Health Alert Network (HAN) UHF Radio WebEOC Training GIS / GPS Trainin Arc Pad / Hand-held Computer Training for Resp rato Needs - Protection n Assessments- and?Flitp 3 Poultry Populations Swine Populations \ f ' !Legend nLegend FOUh tl - 120 16" 0 N b !0 I= 1 I%W 4 Accessing Your New Hanover County FMail via Outlook Web Access 1) On a computer with Internet access, open Internet Explorer by double-clicking on this icon: 2) Next, type in this URL (link): http://mail.nhcgov.com in the address bar and press ENTER: http: J/mail, nhcaov. com 3) Enter your login information into the window that comes up and press the "Log On" button. Typically, but not always, your username is going to be first initial + last name (e.g. John Smith = jsmith). Use this line to write down your username if you like: ~%W Elm m1craw1roFfim .Outlook Web Access ProMded by Microwft Fxctwnge Saar 2DO3 Dom ' name; .0th Password; L On Cwt (whafs this?) to` Pram s r Eiasic Security (whaVs, this?) C Pubk or shared amputer Private co xuter k%W 4) Next you will see a view of your Inbox with the different areas: a W :~y ryn. a41 E-Mail Message J Y?alt+a " Mailbox Folders Calendar Contacts Options 5) To open an e-mail for reading, double-click on the one you want from your list and it will bring up the appropriate window. 6) To delete an e-mail, select the e-mail by clicking on it once to highlight it and press the X (delete) button on the menu bar: Y' 1 , Changing your New Hanover County password via Outlook Web Access 1. After you have logged into Outlook Web Access, click the "Options" button in the bottom left-hand corner: 2. Scroll down to the bottom of the page and click the "Change Password" button: Proad Charw ward 3. Next, fill in the window that pops up with a little bit of information. It needs the domain (nhcgov.com), the account (your user name - e.g. jsmith), your old password, and your new password typed twice to confirm see step 4 for password policy Press OK to finish: X HS - Authentication Manager Windows rUT Internet Service Manager for Internet Information Server 6.0 ©V~ Doz~ Accts mt smith Oldpassword New password ~ . Cos&m new password . 4. Your password must be at least 7 characters long, and will need to contain characters from at least 3 of the following 5 categories: a. English uppercase characters (A-Z) b. English lowercase characters (a-z) c. Base 10 digits (0 - 9) d. Non-alphanumeric (example: etc.) e. The password must not contain three or more characters from the user's account name. ~ ILL kt: I kJ(:\'Ul11 \riSteve Troxler North Carolina Department ofAgriculture Commissioner and Consumer Services August 21, 2007 David E. Rice New Hanover County Health Department 2029 South 17th Street Wilmington, NC 28401 Dear David E. Rice, I want to express my heartfelt appreciation for your assistance in the recent Castleberry canned food recall. There are few recalls that rise to the level of this one in terms of potential risk to public health and scope of products involved. Your invaluable participation in our combined effort allowed for the quick removal of potentially contaminated products and reduced the risk of exposing the consuming public to botulism toxin. I salute your spirit of cooperation and am grateful for your time and effort. Without your assistance, we would not have been able to achieve this remarkable response. I look forward to the opportunity for future collaborative efforts to ensure the safety of North Carolina citizens. Sincerely, a ~ ~0~- 9"), ~0_ ~ Steven W. Troxler Commissioner Cc: Leah Devlin, DDS MPH State Health Director Terry Pierce State Environmental Health Director ~11rr E-mail: Steve.Troxler@ncmail.net • www.ncagr.com 1001 Mail Service Center, Raleigh, NC 27699-1001 • (919) 733-7125 • Fax (919) 733-1141 Telecommunications Relay Services: TTY: 1-800-735-2962 Voice: 1-877-735-8200. An Equal Opportunity Affirmative Action Employer Page 1 of 2 Rice, David E. From. Rice, David E. Sent: Thursday, August 09, 2007 2:57 PM To: Roane, Kim Subject: RE: F.A.C.T. Recommendations Approved. David E. Rice, MPH, MA Health Director New Hanover County Health Department 2029 South 17th Street Wilmington, NC 28401 910-798-6591 drice@nhcgov.com http://www.nhchd.org From: Roane, Kim Sent: Thursday, August 09, 2007 2:31 PM To: Rice, David E. Subject: F.A.C.T. Recommendations Dave, At our meeting on 8/8/07, the F.A.C.T. members agreed to submit the following recommendations to you for your consideration: • International Travel Clinic medication: recommend increasing the cost of Oral Typhoid (bottle of 4) from $40.00 to $50.00, based on increase in product cost. • Hepatitis A vaccine: recommend expanding the categories of clients to be offered the free state-supplied vaccine at no cost to anyone interested, including international travel clinic patients, until the remaining supply of 300 doses is exhausted. This vaccine will need to be used before it expires. • Based on newly released Medicaid reimbursement rates, recommend increasing the fee for Newborn EPSDT Screen/HV (99502EP) from $65 to $90. We have not provided this service to date, but the cost of providing the service would require the increased fee, and Medicaid's increase in the reimbursement rate would allow the higher amount. • Establishing a fee of $15.00 for SED Rates (85651), covering the cost of this service and pricing it consistently with other similar laboratory services. • Changes to the NHCHD Fee Policy as recommended by the State Administrative Consultant during the recent monitoring visit (see attached documents). • One additional change to NHCHD Fee Policy, required as described in memo from Joe Holliday, Women's Health Branch Head, for compliance with federal Title X income guidelines. This change will exclude all family planning accounts from being sent to the NC Debt Set-Off program, as it is seen as a barrier to service. This change has been incorporated into item "K" in the fee policy attached to this document. Each of the requested changes are expected to affect revenues at an amount less than $5,000 per year, permitting Health Director approval. Thank you for your consideration, Kim Kim Roane Business Manager New Hanover County Health Department 8/9/2007 World Rabies Day Page 1 of 2 HOME MISSION CAMPAIGNS MEDIA EVENTS LOGOS PARTNERS SIGN UP CONTACT US DONATE Only 8 days left till World Rabies Day 2007! Find out more: Featured World Rabies Day Event • Our Mission Wilmington, NC • Plan an Event On September 8, 2007, the Pre-Veterinary Medical Association, in conjunction with • Teaching Materials New Hanover County Animal Control Services and the New Hanover County Health • Veterinary Department is holding a no-cost rabies clinic on the University of North Carolina Resources Wilmington campus for staff, faculty, students, and members of the surrounding • Join the Teaml community, as a way of promoting World Rabies Day. For more information, please contact Dr. G. Robert Weedon (rweedonCabbellsouth.net). Donate to Help Fight Rabies: i 'rfss., I ~.~,,,1~ E+w'z; Worldwide Events FRI' duC ? 1 nal Mater i als Share A'Personal Story *IiSend~ys~your WRD About How Rabies Has Pi ures & Stories Affected You World Rabies Day in the News August 30, 2007 - Aerial rabies baiting campaign to begin article August 30, 2007 - Lecture on rabies, clinics set next week article August 29, 2007 - Second rabies case confirmed in New Hanover County article August 21, 2007 - DA Bicol supports World Rabies Day celebration article August 15, 2007 - Rabies prevention a worldwide effort article August 15, 2007 - World Rabies Day is Designated for Sept. 8 article August 14, 2007 - World Rabies Day Strives to Make Rabies History article July 26, 2007 - 25 Veterinary Schools Support World Rabies Day With Events. article July 18, 2007 - "Public health officials urge rabies caution - announce participation in First World Rabies Day" article July 8, 2007 - The Horse: "World Rabies Day is Sept. 8, 2007". article r http://www.worldrabiesday.org/index en.php 8/30/2007 World Rabies Day Page 2 of 2 Wt May 31, 2007 - "Veterinary and public health authorities to team up to eliminate rabies worldwide" article 1-604 http://www.worldrabiesday.org/index en.php 8/30/2007 Rice, David E. ems: Cook, Amy L,.jnt: Wednesday, August 29, 2007 3:22 PM 'To: Health - Board of Health Subject: New Hanover County Health Assessment 2007 New Hanover County Health Assessment 2007 we are conducting the New Hanover County Health Assessment for 2007 and we would appreciate your help. Please take a few minutes to answer this short online survey (link below) about the current issues in New Hanover County. Thank you for your time. If you have any questions regarding this assessment, please feel free to email me or give me a call at 6548. Thank you again. http://www.nhcgov.com/AgnAndDpt/HLTH/HP/Pages/CommunityHealthAssessment.aspx Note: To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. Health Promotion Staff Amy M. Cook, MPH Health Promotion Supervisor New Hanover County Health Department 129 South 17th Street IliAlKlmington, NC 28401 Phone: (910) 798-6548 Fax: (910) 341-4146 Email: acook@nhcgov.com 1 New Hanover County Needs Assessment Page 1 of 4 New Hanover County Needs Assessment Exit this survey ~hw 1. New Hanover County Please answer the following questions below (1-14) by clicking on the appropriate answer(s). Your responses will be anonymously recorded. 1. In your opinion, what do most people die from in your community? Choose only one. Heart Disease/Stroke HIV/AIDS/STDs Asthma Motor Vehicle Deaths Diabetes Homicide Cancer Other (please specify) 2. In your opinion, what is the biggest health issue of concern in your community? Choose only one. Teen Pregnancy Obesity Dental Health Asthma Mental Health Tobacco Use Vehicle Crashes Child Abuse Drug/Alcohol Abuse Other (please specify) Gangs/Violence 3. In your opinion, what do you think keeps people in your community from seeking medical treatment? You may select multiple answers for this question. Transportation or health services too far away No appointments available at doctor when needed/Have to wait too long at doctor's office Lack of insurance/Unable to pay for doctor's visit Fear (not ready to face health problem) Other (please specify) 4. Do you feel any of the factors listed below affect the health care you or people in your community receive? You may select multiple answers for this question. A person's age A person's income or insurance status Other (please specify) http://www.surveymonkey.com/s.aspx?sm=uxESIPzty _VQCXtrwxtDKyA_3d 3d 8/30/2007 1 KgV V vl • 1 1`IGYY 1,Rp11VYV1 VVUllI~' 1\VVa1J [1JJV JJ111V11~ 1 A person's race A person's sex 5. In your opinion, do you feel people in your community lack the funds for any of the following: You may select multiple answers for this question. Food Transportation Medicine Health Insurance 6. What would you like to see more of in your community to improve the health of your family, friends, and neighbors? You may select multiple answers for this question. Healthier Food Choices Tobacco-free places Wellness Screens Job Opportunities Safe places to walk/play Other (please specify) 7. What screenings or classes would you like to see more of in your community? You may select multiple answers for this question. Vaccinations Breast Cancer HIV/Syphilis Cholesterol/ Blood Pressure/ Diabetes Prostate Cancer Other (please specify) Family Planning 8. Do you support tobacco-free places/ buildings in New Hanover County? Choose only one. Yes, in all public places/buildings Yes, but not all public places/buildings No, tobacco use should be allowed in all public places 9. (For statistical purposes only) I am: Female Male 10. (For statistical purposes only) My age is: Under 25 25-34 1.04 35-44 http://www.surveymonkey.com/s.aspx?sm=uxESIPzty_2fQCXtrwxtDKYA_3d_3d 8/30/2007 iNew Hanover Lounry l-4eeas Hssessmem rags .3 vi ? 45-54 55-64 65-74 75+ 11. (For statistical purposes only) My race is: African American Caucasian Native American Hispanic Other (please specify) 12. (For statistical purposes only) Do you currently have health insurance? Yes No No, but did at an earlier time/Previous job 13. (For statistical purposes only) w, Do you live or work in New Hanover County? Both Live Work Neither 14. When seeking care, what hospital do you visit first? Please type the name of the hospital in the box below. 15. (For statistical purposes only) I live in or close to the following city/town: Wrightsville Northside Dry Pond/The Bottom Beach/Landfall Downtown/ Historic Forest Hills/Glen Meade Porter's Neck/Northern District Sunset Park New Hanover County Pine Valley Other (please specify) Pleasure Island/Monkey Mid-town/Winter http://www.surveymonkey.com/s.aspx?sm=uxESIPzty2f QCXtrwxtDKyA_3d_3d 8/30/2007 ivew rimover t,vunty ivueus rissessmem rage -f ul't w Junction Park Castle Hayne/Wrightsboro/North College Road Done http://www.surveymonkey.com/s.aspx?sm=uxESIPzty_2fQCXtcwxtDKyA_3d_3d 8/30/2007 Draft New Hanover County Board of Health Superintendents of Health / Health Directors Name Date Dr. Adam Em pie Wright 1876 - 1878 Dr. Joshua Cochran Walker 1879 - 1882 Dr. Francis Whitford Potter 1883 - 1893 Dr. Joseph Christopher Shepard 1893 Dr. Robert D. Jewett 1893 - 1895 Dr. Joseph Christopher Shepard 1895 - 1896 Dr. Andew Howell Harriss 1896 Dr. William Dou al McMillan 1897 - 1900 Dr. Charles Thomas Harper 1900 - 1907 Dr. William Dou al McMillan 1907-1914 Dr. Charles Torrence Nesbitt 1911-1917 Dr. Arnold Stovall 1917 Dr. Robert B. Slocum 1918 Dr. Charles E. Lowe 1918-1920 Dr. W. H. Herrin 1919-1920 Dr. John H. Hamilton 1920-1931 Dr. Avon H. Elliot 1931-1951 Dr. Charles B. Davis 1951-1968 Dr. Joseph C. Knox 1968 - 1976 Dr. James A. Finger 1976 - 1979 Mr. James M. Brown 1979 - 1983 Mr. Robert S. Parker 1983 - 1997 Mr. David E. Rice 1997- Photographs y one c a ° o c o' 00 c 0 3 a o ~ ~ p O y N ° ~ $ aN U CA v w 4 ";4 o ° 0 3 v ON w _ a ' .0 cn ' U u CA (5 4- C\j O w~,b ° O w.~ Q ' O v 4 0 ~I w U '6io ° c~ a~ '50 mu ~ ~ T/1 ~ ,a p O Q ~ r > x N aF. 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