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11/01/2000 NEW HANOVER COUNTY BOARD OF HEALTH ,e Dr. Thomas Fanning Wood Memorial Conference Room New Hanover County Health Department AGENDA Date: November I, 2000 Time: 8:00 A.M. Place: Dr. Thomas Fanning Wood Conference Room New Hanover County Health Department Presiding: Mr. William T Steuer, Chairman ~ Invocation: 1 - 1- Minutes: Mrs. Anne Braswell Rowe October 4, 2000 _ Recognitions: Years of Service - Mr. William T. Steuer Chairman 5 Years Mania S. Swart, Public Health Nurse I, Community Health Pamela J Horne, Clerical Specialist I, Laboratory 10 Years Thurman Grady, Vector Control Field Operator, Vector Control ~-t-~ Personnel New Emolovees e Rebecca Balthazar, Public Health Nurse I, Women's Health Gayle Bordeaux, Public Health Nurse I, Community Health Patricia Hanes, Public Health Nurse I, Community Health Lisa Lavoie, Public Health Nurse I, Child Health Anthony Nichols, Public Health Nurse II, Community Health Charlotte Rollins, Public Health Nurse I, Child Health Laura West, Public Health Nurse I, Community Health e e fb-II Id- -I J- J~ - d-- 3> ~ t-f ~dB e NHC Board of HeaIth Agenda November 1, 2000 - Page 2 Other Recognitions: Great I 00 Award for Nursing Excellence in North Carolina - Betsy Summey, Physician Extender, Communicable Disease NC DHHS, Division of Public Health, Nutrition Services Branch Awards . 2000 WIC Award for Program Excellence - NHCHD · Management Support Person of the Year - Barbara Codero, Administrative Assistant, Nutrition . Friend ofWIC Award - Allen Swart Recognition of New Hanover County As A Safe Community by the Governor's Highway Safety Program and the National Highway Traffic Safety Administration Department Focal: - Mr. William T Steuer Health Department Safety and the OSHA Inspection - Ms. Susan M. O'Brien Laboratory Director Monthly Financial Report: September 2000 (Including Grant Status Update) Ms. Cindy Hewett Business Officer Committee Reports: Executive Committee (listed under New Business) - Mr William T Steuer New Business: - Mr. William T Steuer Revision to Fee Policy - Personal Health Services ~ f Grant Application - Asthma Initiative ($23,000) Af School Health Nurse Position (Part-time $12,400) ~ Nominating Committee Report ~. ~~ V~~~ e NHC Board of Health Agenda November 1, 2000 - Page 3 Comments: - Mr. William T. Steuer Board of Health Members Health Director J) / tl'"" 'J << /,j r~ (1Ii'tr/~)/. . I Strategic Planning Update ~: fPl1{ If fertlj ~P/tj C/llit(! 2. Health Directors' Legal Conference - Oct~r 18-19,2000 - Mr. David E. Rice 3 Convocation of State Epidemiologists - October 23, 2000 4 American Public Health Association Annual Meeting - November 10-15, 2000 5 NHCBH Invocation Schedule e 6. Influenza Vaccine - ;1r/~ ~ ~ 7 Christmas Luncheon - Decem~e~)4, 2000 ~ AddtJCJ; ~ t;, kt5~ Other Business: - Mr. William T Steuer Adjourn: - Mr. William T Steuer e 182 I Mr. William T. Steuer, Chairman, called the regular business meeting of the New Hanover County Board of Health (NHCBH) to order at 8:00 a.m., Wednesday, November 1, 2000, in the Carl T. Durham Memorial Auditorium of the New Hanover County Health Department, 2029 South 17th Street, Wilmington, North Carolina. Members Present: William T. Steuer, Chairman Wilson O'Kelly Jewell, DDS, Vice-Chairman Henry V. Estep, RHU Michael E. Goins, OD Gela N. Hunter, RN, Nurse Practitioner W. Edwin Link, Jr., RPH Anne Braswell Rowe Melody C. Speck, DVM Members Absent: Robert G. Greer, Vice-Chair, County Commissioners Philip P. Smith, Sr., MD Estelle G. Whitted, RN Others Present: David E. Rice, Health Director Lynda F. Smith, Assistant Health Director Frances De Vane, Recording Secretary I Invocation: Ms. Anne Rowe gave the invocation. Minutes: Mr. Steuer asked for corrections to the minutes of the October 4, 2000 New Hanover County Board of Health meeting. The minutes of the October 4 Board of Health meeting were approved as submitted. Recognitions: Mr. Rice recognized the recipients of the New Hanover County Service Awards: Years of Service 5 Years Mania S. Swart, Public Health Nurse I, Community Health Pamela J. Horne, Clerical Specialist I, Laboratory I 10 Years Thurman Grady, Vector Control Field Operator, Vector Control Mr. Rice introduced and welcomed the following new employees and guests: 1 183 Personnel I New Employees Rebecca Balthazar, Public Health Nurse I, Women's Health Gayle Bordeaux, Public Health Nurse I, Community Health Patricia Hanes, Public Health Nurse I, Community Health Lisa Lavoie, Public Health Nurse I, Child Health Anthony Nichols, Public Heålth Nurse II, Community Health Charlotte Rollins, Public Health Nurse I, Child Health Laura West, Public Health Nurse I, Community Health Guests Shirley Edmonds, student, UNCW School of Nursing Other Recognitions: Awards Great 100 Award for Nursin2 Excellence in North Carolina - Betsv Summey, Physician Extender, and Communicable Disease Mr. Rice congratulated Ms. Betsy Summey, Physician Extender, Communicable Disease, I recipient of the Great 100 Award for Nursing Excellence in North Carolina. Ms. Summey was selected as 1 of 100 nurses from 80,000 nominees for the prestigious award presented for nursing excellence, practice, and commitment to the nursing profession. NC DHHS, Division of Public Health, Nutrition Services Branch Awards Mr. Rice announced the Health Department received three Nutrition Services Branch Awards honoring the Nutrition Division WIC Program for their outstanding accomplishments from the NC DHHS Division of Public Health. They are: · 2000 WIC Award for Program Excellence - NHCHD · Management Support Person of the Year - Barbara Codero, Administrative Assistant, Nutrition · Friend ofWIC Award - Allen Swart, Volunteer Mr. Rice recognized and congratulated the WIC staff, Ms. Barbara Codero, and Mr. Allen Swart. Mr. Rice noted Mr. Swart, a Friend of WIC volunteer, is the son of Ms. Mania Swart, Public Health Nurse and a Five -Year New Hanover County Service Award recipient. Recoenition of New Hanover County As A Safe Community bv the Governor's Highwav Safety Proeram and the National Hiehwav Traffic Safety Administration I Mr. Rice displayed a plaque presented to the New Hanover County Safe Communities Coalition by the Governor's Highway Safety Program and the National Highway Traffic Safety Administration on October 11,2000 at a State Safe Communities conference in Charlotte, N. C. 2 I I I :> ~ I ... ,:: . " ~...' 184 Mr. David Howard, Health Educator, received the award in recognition of the Health Department's leadership role in the Safe Communities Coalition and Injury Prevention Program initiatives. Department Focal: Ms. Susan O'Brien, Laboratory Director, presented a department focal on the Health Department Safety and the OSHA Inspection of the Health Department. She reported Mr. Allen O'Neal, County Manager, requested an OSHA inspection of all county facilities from the North Carolina Department of Labor. Ms. O'Brien explained how the Health Department prepared to meet the OSHA Standards and requirements. She advised the Hazard Communication Law governs all employees. Employees are required to attend OSHA training once a year. The Laboratory Standard governs x-ray, laboratory, and blood borne pathogens. The Safety Standard governs a safe work environment. The New Hanover County Safety Committee and the Health Department Safety Committee worked jointly with division directors and staff to meet compliance of OSHA regulations. Ms. O'Brien stated OSHA Standards change, and it changes the way our agency does business. Ms. O'Brien reported when the Health and Safety inspectors arrived, they found the New Hanover County Health Department facility and staff met all parts of the OSHA Standards with a few accommodations. She thanked and commended the division directors and staff for their efforts and for meeting the standards for the Department of Labor OSHA inspection. Ms. O'Brien emphasized it was a team effort. Dr. Speck commended Ms. O'Brien and the staff for compliance of and for meeting the OSHA Standards. Mr. Steuer thanked Ms. O'Brien for her presentation. Monthlv Financial Report - September 2000 Ms. Lynda Smith, Assistant Health Director, referred the Board to the September Health Department Financial Summary Monthly Revenue and Expenditure Report that reflects an earned revenue balance of $656,543 (15.22%) and a remaining balance of $3,658,359, an expenditure amount of $2,097,172 (21.16%) with a remaining balance of $9,909.80, and a cumulative percent of24.99%. Ms. Smith advised Federal and State Revenue is less due to the statewide conversion to lCD-CPT coding for billing. Mr. Rice noted earned revenue increases in Animal Control Services to $124,370 from $78,343 and in Environmental Health to $71,947 from $61,595 for the prior year. Grant Status Update Ms. Smith presented a Grant Status Report from July 1999 through September 2000. The Health Department grants requested for this period are $839,902. Grants received are $252,373, pending grants equal $272,500, and denied grants equal $315,019. Summarizing the status of grants, Ms. Smith advised the health department received $5,000 for a Lice Eradication Program from the Cape Fear Memorial Foundation and was denied the $4,900 School Health Lice Grant from Carolina, Power and Light. The Healthy Carolinians Grant for $10,000 was ~. 3 185 funded. Ms. Smith stated Smart Start received $50,000 to fund two Maternity Outreach Worker positions, and the budget amendment is to be submitted to the County Commissioners on November 13, I 2000. Mr. Rice reported the health department received two letters of denial from the Z. Smith Reynolds Foundation grant requests for Teen Aids Prevention and Enhanced Counseling. Ms. Hunter inquired about the status of the Teen Aids Prevention Grants. Ms. Smith responded the TAP Program Grant was decreased $20,000 and the Teen Aids Prevention Grant was decreased $15,700. The Elton John Aids Foundation Grant for $48,000 is pending. Committee Reports: Executive Committee Mr. Steuer reported the Executive Committee met at 6:00 p.m. on October 24, 2000. Items are listed under New Business on the Board of Health Agenda. New Business: Revision to Fee Policy- Personal Health Services Mr. Steuer recommended from the Executive Committee for the Board of Health to accept and approve the Revision to the New Hanover County Health Department Fee Policy Ms. Smith referred the Board to the proposed revisions to the New Hanover County Health Department I Fee Policy based upon CPT Codes. The proposed revisions to the NHCHD Fee Policy are as follows: Clinic/Service: New Patient (CPT/Medicaid Codes) Clinic/Service - New Patient (CPT/Medicaid Codes) 99386 40 -64 Year Exam 9387 Over 65 Year Exam $145 $143 99396 40 -64 Year Exam 99397 Over 65 Year Exam $120 $117 Clinic/Service: House Lab (CPT/Medicaid Codes) 82465 Assay Serum Cholesterol 81001 Urinalysis/w/microscopic 81003 Urinalysis, auto/wo/microscopic 85027 Coulter Hematology Profile 85018 Hemoglobin 86592 Serology, qualitative (trust) 84450 SGOT/AST 84460 SGOT AL T 82247 Bilirubin Total 82565 Assay Creatinine 82947 Glucose, quantitative 83615 Lactate (LD) (LDH) enzyme 84075 Assay Alkaline phosphate 82270 Test Feces Blood (Occult Bid) $ 15 $ 12 $ 8 $13 $ 10 $ 18 $ 15 $ 15 $ 15 $ 15 $13 $ 15 $ 15 $ 10 I 4 I I I 186 Motion: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve the revisions to the New Hanover County Health Department Fee Policy - Personal Health Services and to submit the fee revision to the New Hanover County Commissioners for their consideration. Upon vote, the MOTION CARRIED UNANIMOUSLY. Grant Application Asthma Initiative ($23,000) Mr. Steuer recommended from the Executive Committee for the Board of Health to accept and approve a Grant Application Asthma Initiative in the amount of$23,000. The purpose of the grant is to expand education and intervention services related to childhood Asthma. New Hanover County has a viable Asthma Coalition/Trask Force and is eligible to apply for the grant. Motion: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve an Asthma Initiative Grant Application in the amount of $23,000 funded by the Women's and Children's Health Section of the Division of Public Health, North Carolina Department of Health and Human Service and to submit the grant application to the New Hanover County Commissioners for their consideration. Upon vote, the MOTION CARRIED UNANIMOUSLY. School Health Nursine Position ($12.400) Mr. Steuer recommended from the Executive Committee for the Board of Health to accept and approve an additional School Health Nursing Position (50% 10 months a year) for New Hanover High School in the amount of $12,400 funded by the New Hanover County Board of Education and to submit the budget amendment to the New Hanover County Commissioners for their consideration. The total budget request for $12,400 is to expand the current NHCHD School Health Program and includes Salary/Fringe for Public Health Nurse 50% for 10-months, Uniform Allowance, and Travel and Training. Motion: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve the establishment of a School Health Nurse position (50% 10 months a year) for New Hanover High School in the amount of $12,4000 funded by the New Hanover County Board of Education and to submit the budget request to the New Hanover County Commissioners for their consideration. Upon vote, the MOTION CARRIED UNANIMOUSLY. Appointment of Nominatine Committee Mr. Steuer requested Mr. Estep, Chairman, Nominating Committee, give a report from the Nominating Committee. Mr. Estep submitted the following nominees for the 2001 Board of Health: Dr. Wilson O. Jewell, Chairman Ms. Gela N. Hunter, Vice-Chairman Mr. Steuer thanked the Nominating Committee. He advised other nominations from the floor will be received and the officers will be elected by ballot at the December 6 Board of Health meeting. 5 187 Comments: I Board of Health Members Use of Mobile Telephones While Operating a Motor Vehicle Ms. Rowe reminded the Board New Hanover County collision rate is the worst in North Carolina. She referred to a news article regarding mobile cell phone driver distractions and requested the Board of Health be aware the problem of driver inattention. Mr. Estep advised Virginia Beach experienced rapid growth several years ago similar to the growth New Hanover County is experiencing. He stated the problem appears to be inadequate roads and highways that do not accommodate our area's population growth and probably mobile telephone usage contributes to the number of collisions. Mr. Steuer concluded there are many driver distractions other than mobile phones and driver safety is the issue. Health Director Board of Health Information Mr. Rice referred the Board to additional documents in their supplemental folders including a copy of the I Strategic Planning Priorities, an announcement of an Animal Control Services Inner City Rabies Clinic on November 4, and two letters of appreciation written from the Board of Health to Dr. Rachel Stevens, N. C. Institute for Public Health Deputy Director, and Mr. William Hertzog, facilitator of the Strategic Planning Retreat, for their support and assistance with the retreat. Strateeic Plan nine Update Mr. Rice exhibited a Strategic Planning Priorities poster from the Strategic Planing Retreat held on Friday, October 6 and Saturday, October 7, 2000, at the Marriott Courtyard. Other laminated copies of the priorities are posted in the Health Department Auditorium, on the bulletin boards, and are available to employees for review. Retreat participant committees are addressing the identified priorities. Mr. Rice expressed the Strategic Planning Retreat was excellent and will serve as a guideline for the health department. Health Directors' Leeal Conference - October 18-19. 2000 Mr. Rice stated he attended the Health Directors' Legal Conference on October 18-19 held in Chapel Hill, N. C. The Legal Conference Agenda included various Public Health issues and legal ramifications. Convocation of State Epidemiologists - October 23. 2000 I Mr. Rice gave the welcome at the Convocation of State Epidemiologists held on October 23,2000, at the Blockade Runner at Wrightsville Beach, N. C. State Epidemiologists from Texas to Virginia attended the meeting. Mr. Rice reported he attended a special session on software updates for epidemiologists. 6 I I I 188 American Public Health Association Annual Meetine - November 10-15. 2000 Mr. Rice reminded the Board he plans to attend the American Public Health Association Annual Meeting from November 10-15,2000, in Boston, Massachusetts. The program is resourceful and includes leading edge issues. NHCBH Invocation Schedule Mr. Rice distributed a Year 2000 Invocation Schedule for Board of Health regular meetings. He requested Board members who would like to present an invocation sign and designate their date preference on the schedule. Influenza Vaccine Mr. Rice advised the Health Department staff administered 2,500 doses of flu vaccine ordered from a private vendor. The general clinic is currently out influenza vaccine. The public is kept aware of the availability of flu vaccine and may phone 343-6602 to obtain additional information. Christmas Luncheon - December 14.2000 Mr. Rice extended an invitation to Board members to plan to attend the Health Department Annual Christmas Luncheon on December 14, 2000. Lunch is served from 11 :30 a.m. - 1: 30p.m. Animal Control Services Shelter Increases Residents Mr. Rice reported 68 additional animals are residents in the Animal Control Services Shelter. After investigations following citizen complaints, Animal Control Services employees collected 66 dogs and 2 cats from one residence to be housed at the shelter until court proceedings are finalized. Other Business: Facilitv Utilization and Information Technolo2V aT) Strateeic Plan nine Task Forces Ms. Lynda F. Smith, Chair, Facility Utilization Strategic Planning Task Force, announced Mr. Link volunteered to serve with seven staff members on the Facility Utilization Task Force. She reported Ms. Hewett is Chair of the Information Technology (IT) Task Force. Ms. Smith stated the IT Task Force consists of seven staff members and does have a volunteer from Board. She asked if a Board member would like to serve on the Information Technology Task Force, they should notify Mr. Rice. The Communication, Education and Marketing Strategic Planning Task Force will meet today following the Board meeting in the Family Planning Conference Room. 7 Adjourn: Mr. Steuer adjourned the regular meeting ofthe Board of Health at 9:20 a.m. P~~4k::- William T. Steuer, E/RLS, Chairman New Hanover County Board of Health ~ 189 David E. Rice, M.P.H., M.A., Health Director New Hanover County Health Department Approved: I I I 8 e e e Mr William T Steuer, Chairman, called the regular business meeting of the New Hanover County Board of Health (NHCBH) to order at 8:00 a.m., Wednesday, October 4, 2000, in the Carl T Durham Memorial Auditorium of the New Hanover County Health Department, 2029 South 17"' Street, Wilmington, North Carolina. Members Present: William T Steuer, Chairman Wilson O'Kelly Jewell, DDS, Vice-Chairman Henry V Estep, RHU Michael E. Goins, OD Robert G. Greer, Vice-Chair, County Commissioners Gela N. Hunter, RN, Nurse Practitioner W Edwin Link, Jr., RPH Anne Braswell Rowe Philip P Smith, Sr., MD Melody C. Speck, DVM Estelle G. Whitted, RN Members Absent: None Others Present: David E. Rice, Health Director Lynda F Smith, Assistant Health Director Frances De Vane, Recording Secretary Invocation: Dr Philip P Smith, Sr., gave the invocation. Minutes: Mr Steuer asked for corrections to the minutes of the September 6, 2000 New Hanover County Board of Health meeting. The minutes of the September 6 Board of Health meeting were approved as submitted. Recognitions: Mr Rice recognized the recipients of the New Hanover County Service Awards: Years of Service 10 Years Monica Simon, Medical Lab Assistant II, Laboratory 25 Years Eleanor W Jones, Public Health Nursing Director, Communicable Disease Mr Rice introduced the following new health department employees and guests: 1 e e e Personnel New Emolovees Michelle Locklear, Clerical Specialist I, Communicable Disease Nicole Sweder-Gambrill, Shelter Attendant, Animal Control Services Stephanie Lynn Visintainer, Licensed Practical Nurse II, Community Health Marsha Watts, Clerical Specialist I, Environmental Health Guests Candy Garrett, student, UNCW School of Nursing Sheila Goolsby, student, UNCW School of Nursing Kathy Johnson, student, UNCW School of Nursing Jermie Mercer, student, UNCW School of Nursing Other Recognitions: Awards New Hanover County Class Act Award Mr Rice congratulated Ms. Penny Raynor, Physician Extender, Jail Health Program, Community Health, recipient of the New Hanover County Class Act Award. The County Commissioners presented the award to Ms. Raynor for the exceptional service and job performance in the New Hanover County Jail. North Carolina Public Health Association lNCPHA) Awards Mr. Rice announced the New Hanover County Health Department received awards recognizing staff for their outstanding achievements and accomplishments during the North Carolina Public Health Association (NCPHA) Annual Meeting on September 20-22, 2000, in Wilmington, North Carolina. The awards are as follows: Margaret B. Dolan Merit Award, NCPHA Nursing Section - Betty Creech, Division Director, Community Health Child Health Team Award, NCPHA Women's and Child Health Section - Community Health Team, Community Health Mr Rice congratulated Ms. Creech who received the Margaret B. Dolan Merit A ward, the most prestigious NCPHA Public Health Nursing Section Award in the state. Mr. Rice asked the School Health Team to stand for recognition as recipients of the Child Health Team Award. NCPHA Southeastern District Environmental Health Section Mr Rice recognized and commended Ms. Susan Wright, Environmental Health Specialist, winner of the Jesse S. Canady Sanitarian of the Year Award given by the NCPHA Southeastern District Environmental Section. 2 e e e Department Focal: Dr. Jean McNeil, Animal Control Services Director, presented an Animal Control Services (ACS) Update as the department focal. She gave a progress report and an update on the ACS Licensing Program, Chameleon Software, Rabies Cases, Adoptions, and ACS Special Events. Dr McNeil reported 23 local veterinarians are participating in the ACS Licensing Program. Appeal hearings are held at the ACS shelter with 18-24 cases per hearing. The ACS Division went on line in October 1999 to process ACS citations, to assist with the appeals process, and agency collection procedures. A Chameleon user manual was developed and training of staff is on going. The total number of Rabies since March 26, 1996 is 57 ACS staff is promoting educational efforts on pet handling and care and the danger of Rabies. Dr. McNeil advised a new Adoption Program started in October 1999 Adopted pets were transported to the veterinary hospital for spay/neuter process prior to placement in the new owner's home with 100% cornpliance and veterinary support. Future plans include the possibility of an on-site spay/neuter facility to ease the adoption process. Annual ACS special events include an Open House, a Pet Adopt-a-thon, Paws to Recycle, an Inner City Rabies Clinic, and Eat for Pete. Mr. Steuer thanked Dr. McNeil for her presentation. Monthlv Financial Report - AUl!ust 2000 Includinl! Grant Status Report: Ms. Cindy Hewett, Business Officer, presented the August Health Department Financial Summary Monthly Revenue and Expenditure Report that reflects an earned revenue balance of $456,411 (10.70%) and a remaining balance of $3,811,074, an expenditure amount of $1,298,353 (13.31%) with a remaining balance of $8,456,764, and a cumulative percent of 16.66%. Ms. Hewett reported an increase in Animal Control Services earned revenue to $76,075 (14.54%) from $53,071 (10.28%) for the prior year Environmental Health revenue is $50,774 (16.23%) compared to $46,243 ((14.78%) for last year She advised the monthly report does not include Medicaid reimbursement due to the conversion to lCD-CPT coding for clinical services billing. Ms. Hewett explained New Hanover County is a batch county on QS vendor software that interfaces with the HSIS and EDS systems to process Medicaid claims. Ms. Hewett advised Vector Control expenditure is $103,808 compared to $90,725 for the prior year due to seasonal mosquito control expenses for rental of equipment and supplies. Salary and Fringe expenditure is higher at $1,037,054 (1341%) compared to last year at $756,664 (10.53%) The 3.5% market adjustment is budgeted in Salary and Fringe in the Health Department Fiscal Year 2000-2001 Budget. The increase in Capital Outlay is due to the medical records renovation. Ms. Hewett presented a Grant Status Report from July 1999 through August 2000. The Health Department grants requested for this period are $766,902. Grants received are $187,373, pending grants equal $266,500, and denied grants equal $313,029 Summarizing the status of grants, Ms. Hewett advised the Smart Start Grant ($52,000) for two Maternity Outreach Workers, the Cape Fear Memorial Foundation Grant ($35,000 funding for one-year), the Diabetes Today Grant ($10,000), and the March Toward TB Elimination Grant ($7,200) are included in the Board's grant update. Committee Reports: 3 e e e Executive Committee ttl)~t tlD. pft;blt~ Mr Steuer reported the Executive Committee met at 6:00 p.m. on September 26, 2000. Items are listed under New Business on the Board of Health Agenda. Personal Health Committee Mr. Estep, Personal Health Committee Chairman, reported the Personal Health Committee at 6:00 p.m. on September 13, 2000, to finalize plans for the Strategic Planning Retreat to be held from 8:30 a.m. to 5'00 p.m. on October 6 - 7 at the Marriott Courtyard in Wilmington, North Carolina. He thanked Mr. Rice, health department participants, and Board of Health members for their review of the Strategic Planning Retreat packet and manual. Mr. Estep advised Mr. Rice will present the retreat agenda to the Board. Mr Estep informed the Personal Health Committee discussed the proposed regulation to prohibit the Use of Mobile Telephones While Operating a Motor Vehicle. He gave an update to the Board on what the Committee is doing to promote an educational public awareness campaign. Mr David Howard, Health Educator, is developing a public awareness campaign to cover in-vehicle technology and the legal aspects of the issue on the risks of using a mobile phone while driving a motor vehicle and on other driving distractions, rules, and skills. Mr Estep stated that more statistical data is being collected on driver distractions. Mr Estep clarified under the existing law it is not well defined whether the Board of Health has the authority to enact this regulation or what local or state entity would be involved or responsible for the enforcement of the regulation. Thirty states have introduced hand-held cell phone legislation but none have passed, and a municipality in Pennsylvania did pass a mobile telephone regulation that was declared illegal. Unfinished Business: New Business: Grant Application - Healthv Carolinians ($10,000) Mr. Steuer recommended from the Executive Committee for the Board of Health to accept and approve the Healthy Carolinians Grant Application for $10,000. Ms. Gela Hunter requested additional information on the activities of the Healthy Carolinians Task Force. Ms. Elizabeth Constandy, Health Educator, explained the grant proposal is to reestablish and maintain the activities of the New Hanover County Healthy Carolinians Task Force under the new name of Cape Fear Healthy Carolinians Task Force. It is joint effort of New Hanover and Brunswick Counties to reorganize task forces of certified counties, to develop a re-certification plan, and to plan community health promotion activities. Activities include expanding membership and building collaborations with health and human service agencies, training and skill development, and marketing efforts to educate the community about health issues and the initiatives of the Cape Fear Healthy Carolinians Task Force. Mr Rice reported the New Hanover County Task Force was established in 1990 and was instrumental in establishing Wilmington Health Access For Teens (WHAT) through community collaboration. Mr Greer inquired about the grant being placed on the County Commissioners Agenda prior to the approval ofthe Board of Health. Mr Rice stated this was due to the time constraints of the grant request. 4 e e e Motion: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and approve the Healthy Carolinians Grant Application for $10,000 from the North Carolina Department of Health and Human Services and to submit the associated budget amendment to the New Hanover County Commissioners for their consideration. Upon vote, the MOTION CARRIED UNANIMOUSLY. Grant Application - March of Dimes ($10,000) Mr Steuer recommended from the Executive Committee for the Board of Health to accept and approve a Grant Application for a Folic Acid Awareness Campaign in the amount of $10,000 from the March of Dimes Birth Defects Foundation. The purpose of the grant is to provide multivitamins with folic acid along with educational infonnation eXplaining the protective effects of folic acid for the prevention of neural tube birth defects. The project will target agencies within our community that provide pregnancy testing services, the Register of Deeds office that issues marriage licenses, and the under served population. Dr Speck stated it is important for all women of childbearing age to take multivitamins with folic acid, and that the grant provides an innovative way to reach the target population. Ms. McCorkle reiterated North Carolina is recognized as having the highest rate of neural tube birth defects. She emphasized the consumption of 400 micrograms of folic acid taken before pregnancy is a very economical way to eliminate this serious birth defect. Motion: Mr Steuer moved from the Executive Committee for the Board of Health to accept and approve the March of Dimes Grant Application for $10,000 and to submit the budget amendment to the New Hanover County Commissioners for their consideration. Upon vote, the MOTION CARRIED UNANIMOUSLY. New Hanover County Board of Health Amendments to Rules Governin!! the Fencin!! and Operation of Private Swimmin!! Pools in New Hanover County. North Carolina Mr Rice explained at the advice of Mr. Burpeau, Assistant County Attorney, the Board of Health needs to consider the adoption of the New Hanover County Board of Health Amendments to Rules Governing the Fencing and Operation of Private Swimming Pools in New Hanover County, North Carolina, as advertised in the September 6, 2000 Board of Health Public Hearing notice. The Board of Health held a Public Hearing to discuss the proposed amendments to the Rules Governing the Fencing and Operation of Swimming Pools with no one requesting to speak at the hearing. Mr Steuer asked for discussion of the proposed regulation recommended by the Executive Committee prior to the Board of Health Public Hearing on September 6, 2000. There was no additional discussion. Motion: Mr. Link moved and Dr Goins seconded for the Board of Health to accept and approve the revised Rules Governing the Fencing and Operation ofPrivale Swimming Pools in New Hanover County, North Carolina. Upon vote. the MOTION CARRIED UNANIMOUSLY. WIC Caseload and Bud!!et Increase Mr Rice explained that due to outreach efforts provided through grant funding, the WIC caseload and budget have increased. The increased caseload is 2,777 and the budget increase is $9,778. He stated prior to the grant initiative, the WIC caseload and budget had decreased. 5 e e e Appointment of Nominatinl! Committee Mr Steuer appointed the following Board of Health members to the Nominating Committee for the selection of nominees for the 2001 Chairman and Vice Chairman of the New Hanover County Board of Health : Mr Estep, Chair Mr Greer Dr. Speck Mr Steuer thanked the Board members for agreeing to serve on the Nominating Committee and requested a Nominating Committee report at the November I Board of Health meeting. Comments: Board of Health Members Mr Steuer asked for additional comments from the Board of Health. There were no additional comments. Health Director NHCBHlNHCHD Stratel!ic Planninl! Process Mr Rice reported he spoke with Mr William T Hertzog, retreat facilitator, to finalize the Strategic Planning Agenda. Mr Rice presented the agenda to the Board of Health. He requested the Board review their pre-packet workbook and identify areas or issues to present at the Strategic Planing Retreat to be held from 8:30 a.m. - 5:00 p.m. on Friday, October 6 and Saturday, October 7, 2000, at the Marriott Courtyard. North Carolina Public Health Association (NCPHA) Follow-up Mr Rice reported the NCPHA Annual Conference was held in Wilmington September 20-22, 2000. He commended health department employees for local arrangements, their exhibits, and participation in the annual meeting. He expressed his appreciation to staff for hosting the reception and tour for NCPHA members attending the Wilmington Historical Tour presented by Mr Dan Shingleton. NCDHIIS Hurricane Preparedness Meetinl!. September 8. 2000 Mr Rice advised on September 8, 2000, health department staff attended a DHHS Hurricane Preparedness meeting to learn more about the state hurricane policies and procedures. Animal Control Services Inner City Rabies Clinic Mr Rice announced the Animal Control Services Advisory Board is sponsoring an Inner City Rabies Clinic from 1:00 p.m. - 3:00 p.m. on November 4, 2000 6 e e e Board ofHeaIth Information Mr. Rice referred the Board to additional items in their Board folder including: 1 NHCBH Amendments to Rules Governing the Fencing and Operation of Private Swimming Pools in New Hanover County, North Carolina (adopted and effective October 4,2000) 2. Strategic Planning Agenda 3 Mobile Telephone articles 4 Comprehensive Child Health Plan 5 September 12, 2000 Animal Control Services Advisory Committee Minutes 6. Report of Dangerous Dog Panel Hearings 7 EPI Information Newsletter 8. National Association of Local Boards of Health Newsbrief. Other Business: Flu Vaccine Dr. Smith inquired about flu vaccine availability The CDC has advised a delay in mass immunization campaigns until later in November The reason for the delay is a lack of FDA approval of vaccines already produced, resulting in additional production. Mr Rice stated Ms. Beth Jones, Communicable Disease Director, has ordered additional flu vaccine from a private vendor. The Health Department normally purchases their vaccine through state contract. Mr. Link advised as long as the flu inoculation is received by mid-December, an individual is protected against the influenza virus. Adjourn: Mr Steuer adjourned the regular meeting of the Board of Health at 9' 20 a.m. William T Steuer, PE/RLS, Chairman New Hanover County Board of Health David E. Rice, M.P.H., M.A., Health Director New Hanover County Health Department Approved: 7 e - e 'New Hanover County Health Department FY 00 - 01 MONTHLY REVENUE REPORT As of September 3D, 2000 Summary for the New Hanover County Health Department Cumulative % 24,99% Month Reported Mon3of12 Sep-OO Current Year Prior Year Type of Budgeted Revenue Balance % Budgeted Revenue Balance % Revenue Amount Earned Remaining Amount Earned Remaining Federal & State 1,372,185 216,858 1,155,327 1,366,280 270.469 1,095,811 AC Fees 523,044 124,370 398,674 516,453 78,343 438,110 Medicaid 941,900 66,378 875,522 852,884 143,069 709,815 Medicaid Max 192,301 192,301 EH Fees 312,900 61,595 Health Fees 109,515 21,510 Other 740,172 80,697 Note: County Appropriation is not calculated above. The County appropriation is the difference between the total amounts on the program expenditure report and the totals on the program revenue report. The budgeted amount for County Appropriation for FY 00 - 01 is ($9,909,980 - $4,314,902) = $5,595,078, The expended amount for County Appropriation for this FY (year-to-date) is ($2,097,172 - $656,543) = $1,440,629. Revenue Summary For Month of SEPTEMBER 2000 8 J e e e New Hanover County Health Department FYOO-01 MONTHLY EXPENDITURE REPORT As of SEPTEMBER 30, 2000 Summary for the New Hanover County Health Department Cumulative % 24.99% Month Reported Mon 3 of 12: Sep-OO Current Year Prior Year Type of Budgeted Expended Balance % Budgeted Expended Balance % Expenditure Amount Amount Remaining Amount Amount Remaining Expenditure Summary For Month of SEPTEMBER 2000 9 e e e NEW HANOVER COUNTY HEALTH DEPARTMENT BOARD OF HEALTH (BOH) APPROVED GRANT APPLICATION STATUS DatiflBO~ Reollested PendiriD ReceiVed ,Denied" Cape Fear Memorial Foundation-Lice Eradication Program $5,000 $5.000 Healthy Carolinians- Office of Healthy Carolinians, Division of Public Health, North 10/4/00 Carolina Dept of Health & Human Services $10,000 $10,000 March of Dimes- March of Dimes Birth Defects Foundation Eastem Carolina Chanter $10,000 $10,000 """'''T =:::s= ".":,,:,, ':':'::'::::.:::" .:':.:: Enhanced Counseling Program for HIV / 9/6/00 AIDS - Elton John Aids Foundation $48,000 $48,000 .,,,,,,,,"""" ,.".,,': ",.,..:") Smart Start applying for Cape Fear 8/2/00 Memorial Foundation Grant (MOW) $52,000 $50,000 $2,000 Enhanced Counseling Program- Z. Smith ~ ,C()( Revnolds Foundation $48,000 $48,000 Teen Aids Prevention- Z. Smith Reynolds ')~ ooq> Foundation $59,000 $59,000 ,,,"" . ..,,' " ,,,' March Toward TB Elimination- NC Dept 7/12/00 of Health and Human Services (DHHS) $10,000 $7,200 $2,800 Cape Fear Memorial Foundation (TAP Pronraml2 year request $55,000 oer vear $55,000 $35,000 $20,000 Diabetes Today - DHHS Division of Public ~ I Health $10,000 $10,000 .:' , :'.: Servicios Para Ninos-Rahab Therapy 6/7/00 Foundation $50,000 $50,000 Family Planning Outreach Initiative-NC Division of Public Health- WPH Unit (Year One $21,538 and Year Two: $22,615) $21,538 $21,538 Healthy Homes Initiative-NC Childhood Lead Prevention Program $20,000 $12,448 $7,552 .,."",."...", ., ., " Project Assist-American Legacy Foundation Grant ($57,500 for each of 3 5/3/00 years) $57,500 $57,500 """'""",,' "".:.:," MOW Services (Infant Mortality)-NC Healthy Start Grant Application (2yr Grant: 4/5/00 $85,000 yr 1 and $43,845 yr 2) $128,845 $128,845 Skin Cancer Screening- NC Advisory Committee on Cancer Coordination and Control $1,500 $1,500 '" ,,' ". WIC Outreach- NC Dept of Health and 3/1/00 Human Services $5,590 $5,590 NOfadlV1iVto: t~~rt:fot:J.th~~d t=.b:2000::'" ..... ........................'......-........'-.......'....... ....... . ... ...............................................................::. I I As of 10/16/00 1 10 e e e NEW HANOVER COUNTY HEALTH DEPARTMENT BOARD OF HEALTH (BOH) APPROVED GRANT APPLICATION STATUS Dat~jaOHI'.....:. Retillested Peril:liOii ReciliVed Denied Child Health Consultant Grant- UNC Dept of Maternal and Child Health- Contract with NC Dept of Health and Human Services, 12/1/99 Division of Women and Children's Health $48,210 $29,275 $18,935 "" , ","" Healthy Carolinians Task Force- NC 11/3/99 Office of Healthy Carolinians (FROZEN) $10,000 $10,000 Operation Reach Women- Susan G. Komen, Breast Cancer Foundation $19,822 $19,822 North Carolina Chilhood Asthma Initiative- NC Dept of Health and Human Services, Women and Children's Health Section /FROZENI $7,500 $7,500 :' :"""'.,':,':',:", School Health Lice Grant- Carolina Power and Light Company Corporate Contributions 9/1/99 Fund $4,900 $4,900 Growing Up Buckled Up- National Highway Traffic Safety Administration I:""",::::S: Cooperative Agreement $54,730 $54,730 "" ", """"""" Model Community Assessment Grant- North Carolia Community Health Initiative- Healthy Carolinians- Center for Disease 9/1/99 Control and Prevention $17,375 $17,375 Diabetes Today Community Planning Initiative-NC Dept of Health and Human Services - Diabetes Prevention and Control Unit $10,000 $10,000 Healthy Women First- Community Health 717/99 Improvement Program $24,692 $24,692 Teen Aids Prevention-Cape Fear Foundation Grant $50,700 $35,000 $15,700 """"""""'.""", " $1I39,9!l'l $'l12,1i!!!! $2li2.373 $316,029 As of 10/16/00 2 11 e e e New Hanover County Health Department CPT Codes and Fees CPTI Medicaid NHCHD Clinic 1 Service Codes CPT 1 Medicaid Description Fees New Patient 99201 New pt Levell - Minimal $43.00 99202 New pt Level II - Problem Focus $60.00 99203 New pt Level III - Exoanded $85.00 99204 New pt Level IV - Detailed $126.00 99205 New pt Level V - Comorehensive $159.00 99381 Well Exam <1 $113.00 99382 1-4 Yr Exam $120.00 99383 5-11 YrExam $119.00 99384 12-17 Yr Exam $145.00 99385 18-39 Year Exam $135.00 99386 40 - 64 Year Exam $145.00 99387 Over 65 Year Exam $143.00 Established Patient 99211 Est PI Level I - Minimal $23.00 99212 Est pt Level II - Problem Focus $37.00 99213 Est pt Level III - Expanded $51.00 99214 Est pt Level IV - Detailed $79.00 99215 Est pt Level V - Comprehensive $118.00 99391 Well Exam <1 $91.00 99392 1-4 Yr Exam $101.00 99393 5-11 Yr Exam $106.00 99394 12-17 Yr Exam $122.00 99395 18-39 Yr Exam $112.00 99396 40 - 64 Year Exam $120.00 99397 Over 65 Year Exam $117.00 Counseling 99401 Prev Medical Counseling - 15 Min $40.00 99402 Prev Medical Counseling - 30 Min $76.00 99403 Prev Medical Counseling- 45 Min $113.00 99404 Prev Medical Counseling- 60 Min $144.00 99411 Group Counseling - 30 Min $39.00 99412 Group Counseling - 60 Min $68.00 99420 Admin & Interpretation Health Risk $88.00 99429 Unlisted Preventive Medicine Service $0.00 99361 Medical Conference (30 min> $73.00 99362 Medical Conference (60 min> $120.00 FP: j1055 DepoProvera Injection $43.29 Legend: AF' Administrative Fee NC: No Charge HF Handling Fee LC: Lab Corp FR: Flat Rate (sliding fee scale does not apply) As of 10/16/00 12 e e e New Hanover County Health Department CPT Codes and Fees CPT' Medicaid NHCHD Clinic' Service Codes CPT' Medicaid Description Fees 9071652 Chicken Pox Vaccine AF 90716 Chicken Pox Vaccine $50.00 90712 52 Oral poliovirus vaccine AF 9071352 Poliomyelitis vaccine SC AF 90647 52 HIB vaccine, PRP-OMP, 1m AF 90632 HEP-A vaccine, adult, 1M $25.00 90633 HEP A Pediatric' Adolescent $25.00 9074452 HEP-B Vaccine PED'AppllM under 11 AF 9074552 HEP-B AdolescenU Ped High Risk 111-19) AF 9074652 HEP-B vaccine, over 201M AF 90746 HEP-B vaccine, over 201M $40.00 90281 52 Immune Globulin AF 90665 Lyme Disease vaccine, 1M $55.00 90782 Injection (SC) , (1M) $5.00 95115 Immunotherapy, one injection $5.00 95117 Immunotherapy injections $10.00 90657 52 Flu vaccine AF 90657 Flu (Child - 6 - 35 months) $12.00 90658 52 Flu vaccine AF 90658 Flu (Adult '3 years+) $12.00 90732 Pnueumococcal vaccine $20.00 90732 52 Pnueumococcal vaccine AF 90676 Rabies vaccine $78.00 90733 Meningococcal Vaccine (Private Stock) $65.00 GOO08 Medicare Administration Fee (FLU) $4.00 GOO09 Medicare Administration Fee (Pneul $5.00 90471 IMM Administration Single Dose $20.00 90472 IMM Administration( Single charge for all add. doses) $10.00 IMM: Medicaid Code W8012 Immunization Update $20.00 00124 Adult Drug Injection (Medicaid) $2.35 House Lab: 82465 Assay Serum Cholesterol $15.00 81001 Urinalysis, auto, w'microscopic $12.00 81003 Urinalysis, auto, without microscopic $8.00 85027 Coulter Hematology Profile $13.00 85018 Hemoglobin $10.00 FR FR FR FR FR FR FR FR FR FR FR FR FR Legend: AF' Administrative Fee NC: No Charge HF' Handling Fee LC: Lab Corp FR: Flat Rate (sliding fee scale does not apply) As of 10/16/00 13 e e e New Hanover County Health Department CPT Codes and Fees CPTI Medicaid NHCHD Clinic I Service Codes CPT I Medicaid Description Fees 86592 Serology, qualitative (trust) $18.00 86593 Serology, quantitative (trust) $15.00 87081 GC & Strep A Culture $20.00 87210 Wet Smear $15.00 87205 Gram Stain $15.00 36415 Veni puncture/Fingerstick $14.00 84450 SGOT lAST $15.00 84460 SGOT AL T $15.00 82247 Bilirubin, Total $15.00 82565 Assay Creatinine $15.00 82947 Glucose, quantitative $13.00 82962 Glucose, blood reagent strip $20.00 83615 Lactate (LD) (LDH) enzyme $15.00 84075 Assay Alkaline phosphate $15.00 85651 RBC SED rate, non-auto $20.00 82270 Test Feces Blood (Occult Bid) $10.00 81025 Urine Pregnancy Test $11.00 87060 Nose, throat, bacteria culture $34.00 87086 Urine Culture, plating and colony count $15.00 Referred Labs: 8718426 Urine Culture (Identification) and Susceptibility Studies LC 87060 26 Nose, throat, bacteria culture HF 83655 26 Blood Lead HF 80156 26 Assay Carbamazepine NC 8016426 Valproic Acid NC 80091 26 Thyroid Panel HF 80184 26 Assay for Phenobarbital NC 80185 26 Assay for Phenytoin NC 83020 26 Hemoglobin Electrophorsis HF 86701 26 HIV- (State Lab) NC 87270 26 Chlamydia trach ag,DFA NC 87206 26 Smear, Stain Interpret NC 8711826 Mycobacteria identification NC 87045 26 Stool Culture for bacteria NC 84437 26 Assay Total Thyroxine HF Legend: AF Administrative Fee NC: No Charge HF' Handling Fee LC: Lab Corp FR: Flat Rate (sliding fee scale does not apply) As of 10/16/00 l1I. e e e New Hanover County Health Department CPT Codes and Fees CPT/ Medicaid NHCHD Clinic / Service Codes CPT / Medicaid Description Fees 80092 26 Assay Thyroid HF 84443 26 Assay Thyroid Stim Hormone HF 80188 26 Assay for Primidone NC 8016826 Assay for Ethosoximide NC 84030 26 Assay Blood PKU NC 86360 26 T-cell count/ratio NC 86781 26 Treponema pallidum confirm NC 87252 26 Virus Inoculation for Test (Herpes) NC 87340 26 HEP B Surface ag,E/A NC 82760 26 Assay Galactose NC 87177 26 Ova & Parasites Smears HF 88142 Pap Smear NC 99001 Handling Fee $15.00 NUTRITION Y2041 Enhanced Nutrition Counseling (MH) $47.00 Y2351 Enhanced Nutrition Counseling (CH) $50.00 MISC MRO Medical Record Original (copy of record or immunization certificate) $5.00 MRX Xerox copy of Immunization Record $2.00 MRI Medical Record for Insurance (based on reimbursement from Ins. Co.) varies FAXL Local Fax (per page) $1.00 FAXLD Long Distance Fax (per page) $2.00 TBSF TB Screening Form $5.00 ADM Off- Site Administrative Charge $5.00 MISC Returned Check Fee $25.00 Jail Health Charges Sick Call Visit $10.00 Dentist Visit $10.00 Prescriptions $5.00 WPH Supplemental Fees Miconazole Vaginal Cream (per tube) $8.00 Triple Sulfa Vaginal Cream (per tube) $5.00 Replacement Oral Contraceptive (per cycle) $8.00 Replacement Diaphragm (each) $10.00 FR FR FR FR FR FR FR FR FR FR FR FR FR FR FR Legend: AF' Administrative Fee NC: No Charge HF' Handling Fee LC: Lab Corp FR: Flat Rate (sliding fee scale does not apply) As of 10/16/00 ]5 e e e New Hanover County Health Department Sliding Fee Scale Rates CPTI Medicaid Codes CPT / Medicaid Description 0% 20% 40% 60% 80% 100% 99201 New pt Levell - Minimal $0.00 $8.60 $17.20 $25.80 $34.40 $43.00 99202 New pt Level II - Problem Focus $0.00 $12.00 $24.00 $36.00 $48.00 $60.00 99203 New pt Level III - Exoanded $0.00 $17.00 $34.00 $51.00 $68.00 $85.00 99204 New pt Level IV - Detailed $0.00 $25.20 $50.40 $75.60 $100.80 $126.00 99205 New pt Level V - Comprehensive $0.00 $31.80 $63.60 $95.40 $127.20 $159.00 99381 Well Exam <1 $0.00 $22.60 $45.20 $67 80 $90.40 $113.00 99382 1-4 Yr Exam $0.00 $24.00 $48.00 $72.00 $96.00 $120.00 99383 5-11 Yr Exam $0.00 $23.80 $47.60 $71.40 $95.20 $119.00 99384 12-17 Yr Exam $0.00 $29.00 $58.00 $87.00 $116.00 $145.00 99385 18-39 Year Exam $0.00 $27.00 $54.00 $81.00 $108.00 $135.00 99386 40 - 64 Year Exam $0.00 $29.00 $58.00 $87.00 $116.00 $145.00 99387 Over 65 Year Exam $0.00 $28.60 $57.20 $85.80 $114.40 $143.00 99211 Est pt Levell - Minimal $0.00 $4.60 $9.20 $13.80 $18.40 $23.00 99212 Est Pt Level II - Problem Focus $0.00 $740 $14.80 $22.20 $29.60 $37.00 99213 Est pt Level III - Expanded $0.00 $10.20 $20.40 $30.60 $40.80 $51.00 99214 Est pt Level IV - Detailed $0.00 $15.80 $31.60 $4740 $63.20 $79.00 99215 Est pt Level V - Comprehensive $0.00 $23.60 $47.20 $70.80 $94.40 $118.00 99391 Well Exam <1 $0.00 $18.20 $36.40 $54.60 $72.80 $91.00 99392 1-4 Yr Exam $0.00 $20.20 $40.40 $60.60 $80.80 $10100 99393 5-11 Yr Exam $0.00 $21.20 $42.40 $63.60 $84.80 $106.00 99394 12-17 Yr Exam $000 $24.40 $48.80 $73.20 $97.60 $122.00 99395 18-39 Yr Exam $0.00 $22.40 $44.80 $67.20 $89.60 $112.00 99396 40 - 64 Year Exam $0.00 $24.00 $48.00 $72.00 $96.00 $120.00 99397 Over 65 Year Exam $0.00 $23.40 $46.80 $70.20 $93.60 $117.00 99401 Prev Medical Counseling - 15 Min $0.00 $8.00 $16.00 $24.00 $32.00 $40.00 99402 Prev Medical Counseling - 30 Min $0.00 $15.20 $30.40 $45.60 $60.80 $76.00 99403 Prev Medical Counseling- 45 Min $0.00 $22.60 $45.20 $67.80 $90.40 $113.00 99404 Prev Medical Counseling- 60 Min $0.00 $28.80 $57 60 $86.40 $115.20 $144.00 99411 Group Counseling - 30 Min $0.00 $7.80 $15.60 $23.40 $31.20 $39.00 99412 Group Counseling - 60 Min $0.00 $13.60 $27.20 $40.80 $54.40 $68.00 99420 Admin & Interpretation Health Risk $0.00 $17.60 $35.20 $52.80 $70.40 $88.00 99429 Unlisted Preventive Medicine Service $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 99361 Medical Conference (30 min) $0.00 $14.60 $29.20 $43.80 $58.40 $73.00 99362 Medical Conference (60 min) $0.00 $24.00 $48.00 $72.00 $96.00 $120.00 j1055 DepoProvera Injection $0.00 $8.66 $17.32 $25.97 $34.63 $43.29 11975 Insert Norplant $0.00 $100.98 $201.96 $302.94 $403.92 $504.90 11976 Remove Norplant $0.00 $39.42 $78.84 $118.27 $157.69 $19711 11977 Remove/Reinsert Norplant $0.00 $110.60 $221.20 $331.80 $442.40 $553.00 57170 Diaphragm Fitting $0.00 $17.80 $35.60 $53.40 $71.20 $89.00 87164 Dark Field Exam $0.00 $8.20 $16.40 $24.60 $32.80 $41.00 16 As of 10/16/00 e e e New Hanover County Health Department Sliding Fee Scale Rates CPT/ Medicaid Codes CPT / Medicaid Description 0% 20% 40% 60% 80% 100% 56501 Destroy Vulva Lesion (s) $0.00 $26.40 $52.80 $79.20 $105.60 $132.00 54050 Destruction/Lesion/Condyloma $0.00 $17.93 $35.85 $53.78 $7170 $89.63 46900 Destrov Anal Lesion(s) $0.00 $26.60 $53.20 $79.79 $106.39 $132.99 96110 Developmental TesU Limited $0.00 $33.60 $67.20 $100.80 $134.40 $168.00 92551 Pure Tone Audiometry, air $0.00 $6.00 $12.00 $18.00 $24.00 $30.00 90471 IMM Administration Single Dose $0.00 $4.00 $8.00 $12.00 $16.00 $20.00 90472 IMM Administration( Single charge for all add. $0.00 $2.00 $4.00 $6.00 $8.00 $10.00 82465 Assay Serum Cholesterol $0.00 $3.00 $6.00 $9.00 $12.00 $15.00 81001 Urinalysis, auto, w/microscopic $0.00 $2.40 $4.80 $7.20 $9.60 $12.00 81003 Urinalysis, auto, without microscopic $0.00 $1.60 $3.20 $4.80 $6.40 $8.00 85027 Coulter Hematology Profile $0.00 $2.60 $5.20 $7.80 $10.40 $13.00 85018 Hemoglobin $0.00 $2.00 $4.00 $6.00 $8.00 $10.00 86592 Serology, qualitative (trust) $0.00 $3.60 $7.20 $10.80 $14.40 $16.00 86593 Serology, quantitative (trust) $0.00 $3.00 $6.00 $9.00 $12.00 $15.00 87081 GC & Strep A Culture $0.00 $4.00 $8.00 $12.00 $16.00 $20.00 87210 Wet Smear $0.00 $3.00 $6.00 $9.00 $12.00 $15.00 87205 Gram Stain $0.00 $3.00 $6.00 $9.00 $12.00 $15.00 36415 Venipu nctu re/Fi ngerstick $0.00 $2.80 $5.60 $8.40 $11.20 $14.00 84450 SGOT / AST $0.00 $3.00 $6.00 $9.00 $12.00 $15.00 84460 SGOT AL T $0.00 $3.00 $6.00 $9.00 $12.00 $15.00 82251 Bilirubin, Total $0.00 $3.00 $6.00 $9.00 $12.00 $15.00 82565 Assay Creatinine $0.00 $3.00 $6.00 $9.00 $12.00 $15.00 82947 Glucose, quantitative $0.00 $2.60 $5.20 $7.80 $10.40 $13.00 82962 Glucose, blood reagent strip $0.00 $4.00 $8.00 $12.00 $16.00 $20.00 83615 Lactate (LD) (LDH) enzyme $0.00 $3.00 $6.00 $9.00 $12.00 $15.00 84075 Assay Alkaline phosphate $0.00 $3.00 $6.00 $9.00 $12.00 $15.00 85651 RBC SED rate, non-auto $0.00 $4.00 $8.00 $12.00 $16.00 $20.00 82270 Test Feces Biood (Occult Bid) $0.00 $2.00 $4.00 $6.00 $8.00 $10.00 81025 Urine Pregnancy Test $0.00 $2.20 $4.40 $6.60 $8.80 $1100 87060 Nose, throat, bacteria culture $0.00 $6.80 $13.60 $20.40 $27.20 $34.00 87086 Urine Culture, plating and colony count $0.00 $3.00 $6.00 $9.00 $12.00 $15.00 99001 Handling Fee $0.00 $3.00 $6.00 $9.00 $12.00 $15.00 17 As of 10/16/00 e e e NEW HANOVER COUNTY BOARD OF' f1J~~T~~'ONp" I~ REQUEST FOR BOARD ACTION Meeting Date: 11/01/00 Department: Health Presenter: Janet McCumbee, Child Health Director Contact: Janet McCumbee, 343.6559 SUBJECT: NORTH CAROLINA CHILDHOOD ASTHMA MANAGEMENT AND CONTROL INTERVENTIONS GRANT APPLICATION for $23,000 to fund Childhood Asthma Management and Control Interventions BRIEF" SUMMARY: We are requesting approval to apply for a $23,000 grant from the North Carolina Department of Health and Human Services, Division of Public Health, Women's and Children's Health Section to fund Childhood Asthma Management and Control Interventions. This grant will be used to expand services (education and intervention) related to childhood Asthma. This opportunity is available to counties, such as New Hanover, which already have a viable Asthma Coalition/Task Force willing to work to create a comprehensive, coordinated system of care for children with Asthma. New Hanover County has such a group organized this past year by our Healthy Homes Nurse. Through our Healthy Homes Program, we provide services to Family Child Care Homes to look for environmental Asthma triggers and to provide low cost or free solutions. We can expand those services by increasing the part time Healthy Homes Nurse to full time, thus allowing her to service private homes where children with Asthma reside. The nurse will take referrals from the hospital or private physicians to help families identify possible Asthma triggers in the child's environment. The nurse will continue facilitating the local Asthma Task Force which will be an integral part of this grant by providing input in writing of the grant and in implementing the additional Asthma services through contracts or consultation. The additional services may include: Asthma education to health care providers on current standards in Asthma diagnosis and treatment, helping children improve their Asthma management through programs like Open Airways, and working with schools looking at buildings for Asthma triggers (Tools For Schools). Opportunities for parent education, community awareness, and data collection will also be provided. RECOMMENDED MOTION AND REOUESTED ACTIONS. Approve grant application and submit to the County Commissioners FUNDING SOURCE: North Carolina Department of Health and Human Services, Division of Public Health, Women's and Children's Health Section ATTACHMENTS: Yes.5 page grant application including a budget page. 18 DRAFT e North Carolina Childhood Asthma Management and Control Interventions Grant Application Submitted by New Hanover County Health Department Needs Statement New Hanover County (16.4%) ranks above the state average (13%) for Medicaid claims for children with asthma - Fiscal Year 1998 (Ages 0-14). School year 98-99, our elementary school nurses identified 229 children known to them as having asthma. We know that many other asthmatic children are still unknown to the nurses. In the spring of 99, we did a telephone survey with large child care centers and it was reported that there were at least 116 asthmatic children known to the child care providers. We get calls frequently at the health department from parents asking questions about asthma management. Family Support Network of Southeastern NC, based in Wilmington, gets calls as well, mainly from parents concerned about how to deal with multiple school absences. e The regional American Lung Association hosted Rockfish Asthma Camp, near Fayetteville, N.C. in May, 2000 and 33% of the participants were from New Hanover County This was a result of the New Hanover County Asthma Task Force efforts. Our local Child Fatality Prevention Team has reviewed one death from Asthma in the last 2-3 years. Asthma Statistics from the local Medical Center: Fiscal Year 1998 Data for age::: 17 . 99 admissions . Hospital charges greater than $310,000 . 68% Medicaid Description of Existing Services During the past year, as part of our New Hanover County Health Department's Healthy Homes Program (also grant funded), we have assembled a local task force to address the issue of childhood Asthma in New Hanover County As we began to organize, network, and plan a World Asthma Day event, we found that there were a few things already going on in our community related to childhood Asthma. One effort was led by a Respiratory Therapist (RT) from New Hanover Regional Medical Center She had made arrangements to offer the Open Airways Program to children with Asthma through the schools. She has been able to get a few volunteers trained and has provided some after school Open Airways classes for children with parent permission. This has been a struggle, to get school support, volunteer instructors, parent interest, transportation, etc. Another service already in place was a class taught in one of the large Pediatrician's offices for parents, by a local Pharmacist. Our Smart Start funded Child Care Nurses have presented the A is for Asthma program to many preschoolers and Child Care providers. e The Asthma Task Force put together, for the first year, a World Asthma Day event. It included a health fair with displays and screenings, an art contest, and community presentations the whole month of May 2000. Our county had 100% participation in the middle school Isaac Study, with a little proding from the Task Force. Our Healthy Homes Nurse is now working closely with the Respiratory Therapist from the hospital to help 19 e provide the Open Airways Program to as many children as possible this school year. Our school nurses received an inservice from the respiratory therapist this past spring. Our Healthy Homes grant from our state Lead Program, allowed us to begin, in January 2000 to provide services which address the environmental assessment and interventions for Family Child Care Homes related to asthma triggers. Our intent for this grant, if funded, is to add this Asthma grant money to our Healthy Homes grant. This would allow us to give our Healthy Homes Nurse, who presently has 10 hours a week to dedicate to Healthy Homes, an additional 10 additional hours a week to facilitate the Childhood Asthma Task Force activities, provide community education, and assist with Asthma interventions. She would then be able to use the environmental assessment she has used in FCCHs in private residences and assist families with interventions. The environmental assessment was developed by a committee of nurses and Environmental Health Specialists in our Department. Additional asthma activities would be contracted to other task force members as well. e Description of the New Hanover County Childhood Asthma Task Force We presently have representation from the following organizations/groups: Child Care Nursing American Lung Association Project Assist Community Pharmacist Representatives from physician offices (pediatric, family practice, adult) Respiratory Therapist from Medical Center Pulmonary Clinical Nurse Specialist from the Medical Center Home Health Agency Physician Representative Healthy Homes Nurse Healthy Carolinians The mission of the New Hanover County Asthma Task Force is to improve the quality of life for children with Asthma, by involvement in activities which encourage the use of National Asthma Education Clinical Practice Guidelines; increase the level of Asthma education to families, health care personnel, and general public; help eliminate environmental triggers: and assist in data collection to determine the extent of problem in New Hanover County Our goals include: improving the recognition/diagnosis of Asthma and treatment/medical management, decreasing hospitalizations and emergency visits, increasing the level of self management and compliance with treatment regimens, decreasing school absences. e Thus far, our strategies have included identifying community resources, collecting some data, increasing community awareness through World Asthma Day activities, and networking with existing programs to write grants and implement programs related to Asthma Control and Management. 2 20 e Our present strategy involves a few activities to be continued through our Healthy Homes Grant - Family Child Care Home visits to look for Lead Hazards and Asthma triggers and as time permits, branching out to offer this service to a few private homes. We are working with the Respiratory Therapist at the local hospital to implement some Open Airways training and possibly Tools For Schools, through a grant she has form the ALA The Health Department needs this additional grant money to increase the nurse hours to accomplish this as a partnership with the hospital. We also plan to expand the membership of the Task Force to include: school personnel, a parent, and a Healthy Carolinians rep. We would contract for some of the professional services of other Task Force members and organizations which can assist with meeting our goals. e Intervention (Proposed Project) . Provide training classes related to National Heart Lung and Blood Guidelines and "Open Airways" Education Program for the following groups (This may require multiple offerings.): school nurses - health department; school faculty (teachers, coaches, staff); and health care providers. . Provide "Open Airways" Education Program for asthmatic students in all New Hanover County Elementary Schools. Volunteers will be recruited and trained to teach the Open Airways curriculum. . Collect data related to outcomes of classes i.e., attendance of children with asthma and missed days of school. This could be done as a pilot, with several of the open airways groups. We could get permission from the parents to track attendance and doctor's visits after the instruction on self management is given to the child and an environmental assessment/intervention has occurred. . Provide "A is for Asthma" program through health department child care health consultants and Healthy Homes nurse. This program is appropriate for preschoolers and would be conducted through Family Child Care Homes and Child Care Centers. . Community Asthma Screening Event around World Asthma Day in the spring. Also, host a one day Asthma Camp for children. . Increase community awareness with media, educational classes and task force meetings. Send Task Force representatives to the Asthma summit in January 2001 and a Public Health Nurse will enroll in the Diploma in Asthma Care program. . Build community based asthma support for families, working with the local Family Support Network. . Work with the school system about environmental triggers (Tools for Schools) and improving the atmosphere for breathing in our local schools. Work with families of Asthmatic children to identify environmental triggers and help them make their home as trigger free as possible with free or low cost remedies. . Look at ways to partner with Project Assist to get the word out about smoking as an asthma trigger. e 3 21 e Collaboration Since we have already pulled together the Task Force, we know there is much interest in our community to collaborate on Asthma control. The Task Force did a great job of organizing our first World Asthma Day event. We will pull in other community groups as we continue to develop the task force. The health department staff involved would include: child care nurses, Healthy Homes nurse, environmental health specialists, Project Assist staff, and school nurses. Working with our Healthy Homes Grant and the hospital's ALA grant, this grant could really boost our ability to provide education and interventions in New Hanover County This education would have a lasting effect on children, their families, and health care providers. Applicant Qualifications New Hanover County Health Department's primary contact is Janet McCumbee, RN, BSN, Child Health Director who has 17 years experience in public health and child health. Janet wrote the Healthy Homes grant and supervises the child care nurses who have been trained on "A is for Asthma", and the Healthy Homes Nurse. Lorna Blackler, the Healthy Homes Nurse also has a Bachelor's degree in Communications. She has attended the Indoor Air Quality workshop and is enrolled in the Diploma in Asthma program presently e New Hanover Regional Medical Center staff assisting is Carolyn Bell, Respiratory Therapist. She has many years experience dealing with asthmatic children in the hospital and has taught "Open Airways" and has trained others. She has also completed the "Diploma in Asthma Care" and will mentor our Healthy Homes Nurse as she completes the Diploma. Laura Allen is a local pharmacist who has served on the Childhood Asthma Task Force this year and provides educational programs at a local pediatrician's office. e 4 22 e New Hanover County Childhood Asthma Budget -- January-June 2001 Salary/Contract Services 10 additional hours/week for 26 weeks (Jan.-June) at $1 SIhr plus fringe for Health Homes nurse already employed part time ..................... $5000 Contracted Services Payment for services for nurse or respiratory therapist, who are not health department employees, who provide the coordination or facilitation of "Open Airways" or other educational classes for health care providers (Respiratory therapist salary -$2SIhr x 100 hrs = $2500; Pharmacist salary $SOIhr x 50 = $2500). Contract with cleaning company for environmental interventions ($2000) .................................................................................... $7000 Advertising Advertise asthma programs and services ...................................................................................... $1000 e Printing Flyers, notices of events or educational materials $1300 Departmental Supplies Supplies for meetings, educational sessions, asthma camp ($2500); Office supplies ($200) Educational materials ($500) Environmental interventions, such as mattress encasements, cleaning supplies, vacuums ($150 per home x 20 homes = $3000) ....... ... ... ... ... ... ... ... ....... ... .... .......... ........... ... .... ....... ....... ....... ...... $6200 Employee Reimbursements Around town mileage for Healthy Homes nurse at $.32S/mile ............................................................................... $500 Training and Travel Asthma Diploma Registration (I), Asthma Summit (at least 2), other related training $2000 e Total Budget ........................................................................................................... $23,000 5 23 10/20/2000 09:44 9102544352 SUSAN PAGE 01 .a --- NEW HANOml courm SCHOOLS OIl. D. JOHN MORRIS. JR. Svperin1endonl AlFRED H. LERCH. Ph.D Ass/~'" Superlnlendenr $lvden' Support p",gto"", Faden>! P"'9ra"". Tes/log MEMORANDUM RE: Betty Creech AI Lerch {)J.... ;41 ~Posltlon TO: FROM: 10: October 20, 2000 FY00#20 DATE: e !(..I We will be expanding our current purchase order to include a % time ~ position for New Hanover High School: Please see attached amendment documentation for this addition, at a cost of $12,400.00, that will run from November 1, 2000 until June 8, 2001. c: D. John Morris, Jr. Norm Shearin Tony Lopatka Linda Bullard e 1802 SOUTH 15TH STllEET WIlMINGTON. NORTH CAROlINA 2840 I PHONE 19101 254.4206 FAA 1910) 254-4352 24 It e e 10/20/2000 09:44 9102544352 PAGE 02 l SUSAN PURCHASE ORDER AMENDMENT FORM DATE October 20, 2000 . 34715 VENDOR # P.O, # 2423 REASON Additional nurse needed at NHHS dlle to the sDllt camDUS. ORIGINAL PURCHASE ORDER AMOUNT S ~74 ~4Q. 00 PRESENT PURCHASE ORDER AMOUNT $ 574.349.00 L E# BU GET CODE AMOUNT TO CHANGE 1 2 .. Change Amount - Sub Total 12.400',00'" Revised P 0 Amount 586,749.00 ~ Susan Steffensen Student Support Services /e !").()j()O Date ' A, . L rdl. ASS't. Sup't. Date Student Support Services Pureneslng Dept. Date This purchase order amendment Is for those contract agreements less than $30.000 that do not have a formal contract agreement. 25 New Position Or Increase/Decrease Hours e Fiscal Year: 2000 - 2001 Department: Health Division: School Health Contact Person: Kim, Marcy Contact Phone Nbr,: 6522, 6649 Fund: 110 Agency: 510 Orgn: 5169 o I Am Not Requesting New Positon Or Increase/Decrease Hours Check The Requested Action: . New Position 0 Increase/Decrease Hours A newly completed Position Description (PD) form must accompany a request for a New Position, The Supervisor should complete the form, New Position Number Requested: 1 e Requested Positon Classification Title: Public Health Nurse I Requested Pay Grade: 119. OOA, $15.37/hr Proposed Effective Date Of Requested Action: November, 2000 Check one: o Full-Time C8J Part-Time C8J 50% 075% 080% Justification For Requested Action 10 months/year position. Due to the increase in the number of medically-fragile students and the medications/treatments necessary to manage these students, Board of Education has requested that we employ an additional school nurse. At this time the nurse is needed to cover the additional New Hanover High School campus. e How Will The Requested Action Benefit The County? Student health problems will be efficiently and effectively managed. This should reduce absenteeism and improve school performance. Liability to the schools will be reduced. The schools can comply with laws requiring that student health needs be met. Home schooling can be reduced. Are There Any Employees Currently Performing The Same Duties And Responsibilities As Described In The Attached PD? 26 It e e . . Yes 0 No If "Yes", Identify By Name, Position Classification Title And Unit. Patty Hochwalt Candice Sancilio Mania Swart Ellen Harrison Gloria Umstetter Rose Bauerlein Dorothy Ashbaugh Teresa Stanley Frankie Mincey Evelyn Bowden Charlotte Norris Leslie Yusko Pat McSwain Shenita Josey Mary Jo Newton Beverly Fussell Laura West Patty Hanes Galye Bordeaux Kelly Johnson Deborah Goodwin Public Health Nurse I Public Health Nurse I Public Health Nurse I Public Health Nurse III Public Health Nurse Public Health Nurse Public Health Nurse Public Health Nurse Public Health Nurse Public Health Nurse Public Health Nurse Public Health Nurse Public Health Nurse Public Health Nurse Public Health Nurse Public Health Nurse I Public Health Nurse I Public Health Nurse I Public Health Nurse I Public Health Nurse I Public Health Nurse I Community Hlth/School Hlth Community Hlth/School Hlth Community Hlth/School Hlth Community Hlth/Personal Hlth Community Hlth/School Hlth Community Hlth/School Hlth Community Hlth/School Hlth Community Hlth/Personal Hlth Community Hlth/Personal Hlth Community Hlth/Personal Hlth Community Hlth/School Hlth Community Hlth/School Hlth Community Hlth/Personal Hlth Community Hlth/Personal Hlth Community Hlth/Personal Hlth Community Hlth/Personal Hlth Community Hlth/School Hlth Community Hlth/School Hlth Community Hlth/School Hlth Community Hlth/School Hlth Community Hlth/School Hlth If "Yes", What Impact Would The Requested Action Have On The Position(s) Listed? They would be able to provide more comprehensive, timely services to the schools. They would be responsible for fewer students; liability related to service delivery would be reduced. What Will Be The Impact If The Requested Action Is Not Taken? One nurse at New Hanover High School cannot cover the two campuses. More at.risk care will be provided. School personnel will have to neglect their duties to provide health care. How Will The Position Be Funded? New Hanover County Schools If position requires any equipment (uniform, computer, vehicle, etc.) please list the equipment and approximately cost below. Mileage. $222 Training/Travel - $150 27 . e 5169-1000 5169-2100 5169-2300 5169-2310 5169-5100 5169-5110 5169-5200 e e Salaries FICA Insurance L T Disab. Mileage Uniforms Training Total Expenditure Budget Additional School Nurse (50%) School Health 5169 $ 9,658 $ 739 $ 1 ,400 $ 22 $ 222 $ 209 $ 150 $12,400 28 . I . NEW HANOVER COUNTY HEALTH DEPARTMENT 2029 SOUTH 17111 STREET WILMINGTON, NC 28401-4946 TELEPHONE (910) 343-6500, FAX (910) 341-4146 Everywhere. Everydly. Everybody. DAVID E. RICE, M.P.H., M.A. Health Director STRATEGIC PLANNING PRIORITIES October 7, 2000 LYNDA F. SMITH, M.P.A. Assistant Health Director e I. Access to health care (Issues #7,11 & 5) II. Preventive services & lifestyle-related risks (Issues #12 & 15\ III. Communication, education & marketing (promotion) (Issue #1 & 4 in part) IV. Facility utilization & Information technology (Issues #6 & 4 in part\ V. Water quality, storm water management & drainage; & Air qualltv (Issues #3 & 8) VI. Emerging health risks (Issue #13) VII. Population growth & diyersity (Issue #2\ VIII. Discontinued services picked up by Health Department (Issue #9\ IX. Staff Development & continuing education (Issue # 14\ X. Evaluation of services (Issue #16) e ISSUES LIST: 1 Communication, education & marketing (promotion): Food safety; All inclusive; Language issues 2. Population growth & diversity: Increased need/demand for services 3. Air quality & environmental hazards: particularly related to child health 4. Information technologylModemization & training (plan in place) 5. Access to school-based services: local Health Department-School Board partnership 6. Facility utilization: Satellite sites; Creative scheduling; Parking; Staff location alternatives; New/additional facility 7 Access to health care: Transportation; Indigent. at-risk populations; Dental services; Senior facilities (assisted care .quality assurance); Language barrier; Outreach & satellite services 8. Water quality, storm water management & drainage: Impacts on drinking water & recreational waters; Public health implications (vector control, sewage, etc.); Advocacy role 9. Discontinued services picked up by Health Department (w/approvaJ of Board of Health) 10. Consolidate specific functions: Public Health Information Officer; Epidemiologist; Grant Writer 11 Brokering & assurance of a Health Department voice on community boards 12. Lifestyle-related risks: Chronic & communicable diseases; Substance abuse; Dental 13. Emerging health risks: New infectious/environmental diseases; Biolerrorism; Immunizations (new, revised & inadequate); Potential disasters 14. Staff development & continuing education: Recruitment; Retention; Benefits; Continuing education 15. Preventive services: Education; Screening/early detection; treatment 16. Evaluation of services " Your flealth - Our Priori!,!" i' . NEW HANOVER COUNTY HEALTH DEPARTMENT 2029 SOUTH 17111 STREET WILMINGTON, NC 28401-4946 TELEPHONE (910) 343-6500, FAX (910) 341-4146 e~ EvCf)'Wbcre. Everyday. Everybody. DAVID E. RICE, M.P.H., M.A. Health Director LYNDA F. SMITH, M.P.A. Assistant Health Director October 16, 2000 Rachel Stevens, EdD Deputy Director North Carolina Institute for Public Health Campus Box 8165 Tate-Tumer-Kuralt Building The University of North Carolina at Chapel Hill Chapel Hill, NC 27599-8165 Dear Dr. Stevens: e On behalf of the New Hanover County Board of Health and the New Hanover County Health Department, we want to thank you for the support of the North Carolina Institute for Public Health. By supporting the New Hanover County Board of Health/Health Department in its strategic planning, you advanced the Institute's mission of improving the health of all North Carolinians by assisting us in strategic planning for our future health needs. William Herzog provided excellent facilitation to our strategic planning retreat on October 6-7, 2000. Bill not only has a heart for public health; he has the knowledge and expertise to lead boards of health and staff to appropriate action. Thanks to Bill's leadership, New Hanover County has set a course for improving the public's health. Your interest in New Hanover County and the cooperation and professionalism you have extended is sincerely appreciated. We look forward to working with the North Carolina Institute for Public Health in the near future. Very Truly Yours, ~~/~ William T. Steuer, Chairman New Hanover County Board of Health e " Your flealth - Our Priori!,!" . , NEW HANOVER COUNTY HEALTH DEPARTMENT 2029 SOUTH 17TH STREET WILMINGTON, NC 28401-4946 TELEPHONE (910) 343-6500, FAX (910) 341-4146 e* Everywhere. Everyday. Everybody. DAVID E. RICE, M.P.H., M.A. Health Director LYNDA F. SMITH, M.P.A. Assistant Health Director October 16, 2000 William Herzog P.O. Box 9034 1501 Lamont Court Chapel Hill, NC 27515 Dear Bill: On behalf of the New Hanover County Board of Health and the New Hanover County Health Department, we want to thank you for facilitating our strategic planning process. We have received several comments from Board members and staff expressing their appreciation regarding the format of the retreat and the excellent job you did. e With the minutes distributed and our priorities and issues list established, we have set the direction for improving the public's health in New Hanover County By leading our strategic planning effort, you assisted us in making improved health decisions at the public policy level. Again, let me express our gratitude to you for your support of the New Hanover County Board of Health/Health Department. Your interest in public health and the leadership and professionalism you have extended is sincerely appreciated. We hope to work with you again in the future. Very Truly Yours, p;u~-.. C/~~~ William T. Steuer, Chairman New Hanover County Board of Health e 1/ Your .JJealth _ Our prioril~ 1/ ~.;.,-\;" . '. \~,. ..'~ . ~".\ii .' 'C' ~, ~i!. . . ;~~~. t.,.;~~':"_ ~..-::.. '.'.~"""'" \W\\\~ :Uf:J!!; N; FREE RABIES CLINIC Protect your children, yourself, and your animals! BRING YOUR DOGS AND CATS SATURDAY, NOVEMBER 4,2000 1 :00 PioM.:TIL 3:00. P.M. ~ WHERE? FIVE POINTS COMMUNITY CENTER /.~ RED CROSS AND MCRAE STREETS '; 'r;' (. y ....: FREE CLINIC FOR THOSE LIVING IN THIS AREA ONL Y. All others are welcome. Please consider a donation. :,. .~ . ,~ Your pet must be kept ;\:iil'der cOlltrol at al\!tlmes. ~. . ~ '1 e e -- TO: Doctors volunteering for the Rabies Clinic ,17 J? "I 1~ I FROM: Animal Control Advisory Committee - )JI(/)(/Yf. t{.; (j;)Oo'f1..-jUlOJI Thank you for volunteering for the clinic. The following is information for you: 1. Date---November 4, 2000 2. Time---1PM until 3PM.p 3. Place---Five points Community Center 4. There will be acess to a large room for cat vaccinations. All else will be outside under cover unless there is rain. In that case we will do the best we can with the one room. 5. Volunteers from the Humane Society, Hanover Kennel Club, Azalea Dog Training Club, and Animal Control will be on hand to do the paperwork, keep order and generally do what is needed for a successful clinic. 6. The vaccine will be of the killed virus type. 7. All supplies---such as table cleaner(Lysol Spray), alcohol, cotton balls, paper towels, etc. will be provided. Syringes will be provided as well as needle disposal. 8. In case of an untoward reaction, please bring your own cortisone and antihistamine that you are used to.. This way, if there is an emergency, you will have what is familiar and will not have to waste time calculating a dose. 9. The Emergency Clinic is going to co-operate with us. 10. There will be a police officer on site. 11. Liability Insurance--except for your medical liability-- will be covered by the city/county premisis liability poliCY. The city and county have sanctioned this function. BE SURE THAT YOUR MEDICAL LIABILITY INSURANCE COVERS YOU AWAY FROM YOUR OFFICE. ~ ~~ 12. City/County insurance officer is CaFlts.. Ali~8~nd and $he can be reached at 341-7179 and will be happy to talk if there are questions. SHe would like to have a "certificate of insurance" for his file from you stating that your personal insurance is appropriate for this clinic. Call me at 458-0233 or Jean McNeil at 341-4197 if you have any questions or concerns or ideas for the clinic.