06/06/2001
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Revenues
New Hanover County Health Department
Revenue and Expenditure Summaries for April 2001
Cumulative: 83.33% Month 10 of 12
Budgeted
Amount
Current Year
Revenue Balance
Earned Remainin
% ~[~l Budgeted
:<::::~. Amou nl
:$
60.84% W $1,348,871
::~.::;.
81.36%@;$ 516,453
~>::;:.
40.84% at $ 852,884
10000%;% $ 315,511
81.26%M- $ 312,900
.:;:::::
106.37%ft $ 109,515
77.23 ,". $ 824 269
Prior Year
Revenue Balance
Earned Remainin
ypeof
Ex enditure
$ 1,333,583
$ 523,044
$ 941,900
$ 153,479
$ 312,900
$ 112,015
$ 1,319585
811,404 $
425,562 $
384,687 $
153,479
254,254
522,179
97,482
557,213
~~I. \-;C.
Current Year
Budgeted
Amount
Expended
Amount
Balance
Remainin
$ 1,098,716
$ 329,474
$ 570,504
$ 366,891
$ 251,051
$ 109,614
$ 848,069
248,155
186,979
282,380
(51,380)
61,849
(99)
178 200
Prior Year
%
I B:;::t:td
Expended
Amount
Balance
Remainin
%
%
'I
$ 6,391,885 $ 1,813,604 77.90% iV $ 7,215,236
.,
$ 1,369,155 $ 603,958 69.39%F $1,733,041
$ 372,724 $ 2~,596 64.34% f*~ $ 755,056
: _.:r. ~_lggtIL ulN{1:l;~~rnliT*x'
. . '"':;:,";'",W" "x::::.x}:'.:;$:;::~..x~...."
$ 8133,764 $ 2,624,158 75.61%Wf! $ 9,703,333
Summary
Budgeted Actual %
FY 00-01 FY 00-01
. Expenditures:
Salaries & Fringe $8,205,489 $6,391,885
Operating Expenses $1,973,113 $1,369,155
Capital Outlay $579,320 $372,724
Total Expenditures $10,757,922 $8,133,764 75.61%
Revenue: $4,696,506 $3,167,592 67 45%
Net County $$ $6,061,416 $4,966,172 8193%
Revenue und Ex))cnditurc Summary
For the Month of April 211t1!
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NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
GRANT APPLICATION STATUS
DiltEi(E1Qi-fF'...... ...... I ReQuEistEidlPeildiilg ill2Ceiv~+ &
NoaCilViilito,eDii{foOip'iJ2001 .............. .................. ........ .... ................
Maternity Care Coordination Expansion Grant
4/4/01 -NC DHHS $15,000 $15,000
Wilmington Housing Authority- Ross Grant -
TAP & Alternative HIV Test Sites for 3 year
funding $192,221 $192,221
Safe Kids Trailer-Safe Kids Safe Communities-
NC Governo~s Highway Safety $8,740 $8,480 $260 .
No aCiiliitliiO',eDi' 'rt:fo, Jan, I'eb "ncj' Ma"2001.. ......
Intensive Home Visitation Program
12/6/00 Expansion Grant - Smart Start $100'==k $96,000 ~
..... ... .... ... ........
Childhood Asthma Management & Control
Interventions- NC Department of Health &
Human Services, Division of Public Health, WCH
11/1/00 Section $23,000 $10,285 $12,715
.. ..... .... .. '. ..... .. .. ,.,
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 Eastern Carolina Chapter $10,000 $8,250 $1,750 .
(... .... . . ... .,.. ..................
Enhanced Counseling Program for HIV / AIDS
9/6/00 - Elton John Aids Foundation $48,000 $48,000
..........~...... ".. .... .. .. ..... .. ,..
..
Smart Start applying for Cape Fear Memorial
8/2/00 Foundation Grant (MOW) $52,000 $50,000 $2,000
Enhanced Counseling Program- Z. Smith
Reynolds Foundation $48,000 $48,000
Teen Aids Prevention- Z. Smith Reynolds
Foundation $59,000 $59,000
I.... :: ..<..,....<.......<... . .. ........ ...,,<. ..... ,...,.(.'.....
March Toward TB Elimination- NC Dept of
7/12/00 Health and Human Services (DHHS) $10,000 $7,200 $2,800
Cape Fear Memorial Foundation (TAP
Program)2 year request $55,000 per year $55,000 $35,000 $20,000
Diabetes Today - DHHS Division of Public
Health $10,000 $10,000
.., .' . . ... ...,
Servlcios 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
Poisoning Prevention Program $20,000 $12,448 ~552
..... ... ..." ,........"......,... ...............
....
Project Assist-American Legacy Foundation
5/3/00 Grant ($57,500 for each of 3 years) $57,500 $8,512 $48,988
As of 5/21/01
. NOTE. Notification recieved since last report
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NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
GRANT APPLICATION STATUS
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MOW Services (Infant Mortality)-NC Healthy
Start Grant Application (2yr Grant $85,000 yr 1
4/5/00 and $43,845 yr 2) $128,845 $128,845
Skin Cancer Screening- NC Advisory
Committee on Cancer Coordination and Control $1,500
WIC Outreach- NC Dept of Health and Human
Services $5,590
. 6i'tJorJari .arid. Feb2000.
Child Health Consultant Grant- UNC Dept of
Maternal and Child Health- Contract with NC
Dept of Health and Human Services, Division of
12/1199 Women and Children's Health $48,210 $29,275 $18,935
Healthy Carolinians Task Force- NC Office of
11/3/99 Healthy Carolinians (FROZEN) $10,000 $10,000
Operation Reach Women- Susan G. Komen,
Breast Cancer Foundation $19,822 $19,822
North Carolina Chilhood Asthma Inltiative-
NC Dept of Health and Human Services, Women
and Children's Health Section (FROZEN) $7,500
e ortJo, Qct.199!f..
School Health Lice Grant- Carolina Power and
9/1/99 Light Company Corporate Contributions Fund $4,900 $4,900
Growing Up Buckled Up- National Highway
Traffic Safety Administration Cooperative
Agreement $54,730 $54,730
Model Community Assessment Grant-North
Carolia Community Health Initiative- Healthy
Carolinians- Center for Disease Control and
9/1/99 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
No ac:tlvltiOrepor-ffOfAugI999..
Healthy Women First- Community Health
7/7/99 Improvement Program $24,692 $24,692
Teen Aids Prevention-Cape Fear Foundation
Grant $50,700 $35,000 $15,700
Tcitals$l ;178.863. $290,221$383;900.$504;'742
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As of 5/21/01
. NOTE. Notification recieved since last report.
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New Hanover Countv Animal Control Services
220 Division Drive
Wilminoton. N.C. 28401
(910) 341-4197
Anolication for Anoointment to Animal Control Advisorv Committee
Category Interest: I.fJO/e.11 . IY'r 17"acntj C/I).b
Name: (!)}e'i I II. fi-'),jp,
Address: PO. 0'()X /CJO/~
. C<y. tJ); !;n,~ bt ) ,.:J f!. 2. i?J/o t/
Telephone: Home: fa -c2~o'-/ 9'70 Business: 9'/() -C)/}O-/970
Why do you wish to serve on the Animal Control Advisory Conunittee?
IA~
k,~ (~ ot /~ ~rf ~
~ /LlfX'~ ~ ~ ~du f'/~I ,
What areas of concern would you like to see the Committee address? ;;L/...e.. C.-n -ry ~ U-A-
~3~~~~~~dL,
Date: ~l3/0/ C~ as~te,
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H!:ALll-t
NEW HANOVER COUNTY BOARD OF COMMltit>IUNEI<S
REQUEST FOR BOARD ACTION
Meeting Date: 06/~01
o~
Department: Health Presenter: Janet Mccumbee, Child Health Director
Contact: Janet Mccumbee, 343-6559
SUBJECT:
Grant Application for Healthy Homes-Asthma Program for $28,600 from New
Hanover County Partnership for Children (Smart Start)
BRIEF SUMMARY:
We are requesting approval to submit this grant application to Smart Start for $28,600 (this is a 16 month
grant beginning 9/1/01 ending 12/31/02) to provide continuation funding for our Healthy Homes program.
Our Healthy Homes program has been in existence for two years and has been funded by state Lead
POisoning and Asthma Program money We will need a new source of funding as of July 1, 2001 The
program employs a half time nurse (Licensed Practical Nurse, LPN) to provide assessments of children
and their environments related to Lead Poisoning and Asthma. The focus of the grant will be to continue
some of the existing activities, with a new target population of preschool children with Asthma. The nurse
will continue to lend support to Child Care Providers in working with children with asthma and with families
of children with Asthma. The nurse will assist both providers and parents with environmental
controls/interventions and will work cooperatively with existing Child Care Health Consultants in the
county
We are requesting $28,600 for 9/01/01 through 12/31/02 to support the half time nurse's (LPN) salary,
fringe, and operating expenses to provide prevention, education, and intervention services to preschool
children with Asthma, their families, and child care providers.
RECOMMENDED MOTION AND REQUESTED ACTIONS:
Approve grant application
FUNDING SOURCE:
New Hanover County Partnership for Children (Smart Start)
ATTACHMENTS:
yes, 3 pages including a budget page
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Executive Summary
Local Partnership Organization: New Hanover County
Title of Project:
Healthy Homes - Asthma Management
$28,600
Amount of Request:
Total Project Budget:
Summarize below the project for which funds are being requested from the NCPC. (A
separate, more detailed proposal must also be submitted per the instructions.)
The New Hanover Health Department has a Healthy Homes Program, which has been in
existence for two years. This program has been funded by state Lead Poisoning and Asthma
Program money and will need a new source offunding July 1,2001 The program employs a half
time nurse to provide assessments of children and their environments related to Lead Poisoning
and Asthma. The focus of this grant would be to continue some of the existing activities, with a
new target population of preschool children with Asthma. The nurse would continue to lend
support to Child Care Providers in working with children with asthma, work with families of
children with Asthma, and assist both providers and parents with environmental
controls/interventions to help minimize health concerns. This nurse would work cooperatively
with existing Child Care Health Consultants in New Hanover County
New Hanover County (16.4%) ranks above the state average (13%) for Medicaid claims
for children with Asthma - fiscal year 1998. In the spring of 1999, a telephone survey of our
largest childcare centers revealed a reported 116 known asthmatic children. This is only the tip of
the iceberg. Asthma data from our local hospital also revealed 99 child admissions for children
with Asthma for 1998-1999 In one month during spring of 2000, the emergency room had 60
child visits coded as the complaint of Asthma. These statistics do not adequately describe the
cost to our community - Medicaid billings, parents' lost days of work, child lost days of school.
Specific objectives of the Healthy Homes Asthma Program include: to provide Asthma
education to child care providers, children, and families; to reduce environmental triggers in child
care facilities and homes; to encourage families of Asthmatic children to quit smoking or reduce
the child's exposure; to offer home assessments and provide low cost or free interventions to
families to reduce triggers; to work cooperatively with the New Hanover County Asthma Task
Force to provide ongoing community awareness of Asthma control.
We are requesting $28,600 to support the halftime nurse salary/fringe/operating expenses
to provide prevention, education, and intervention services to preschool children with Asthma,
their families, and child care providers. Home assessments can be provided to look for Asthma
triggers and provide low cost or free intervention to families. The children would receive
education on their diagnosis and how to manage their health through programs such as "A is for
Asthma." Once the child, family, and child care provider have a good understanding of Asthma
and an individual plan for the child, the child should be better able'lo participate in learning
activities in preschool programs, and working parents will lose less time away from their jobs.
Please mail completed application to: North Carolina Partnership for Children
1100 Wake Forest Road, Suite 300 Raleigh, NC 27604 Altn: Margaret Zealy
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The Healthy Homes - Childhood Asthma Management and Control Grant
History of Pro2ram/General Description
The Healthy Homes Program has been in existence for the past 2 years at New
Hanover County Health Department, funded by state Lead Poisoning and Asthma
Program grants. These grants will expire June 30th, 2001. We would like to continue this
program with a new target population - preschool children with Asthma. The Healthy
Homes nurse has facilitated a community Asthma Task Force, provided Asthma
education to school age children, and worked with Family Child Care Home Providers to
identify environmental triggers. This half time nurse has had additional training in
Asthma management and environmental triggers and would be able to use her knowledge
and skills with the preschool population. Children with uncontrollable Asthma miss
many days in preschool, and are not able to fully participate in learning activities. The
younger they are when they learn to help manage their symptoms and avoid triggers, the
more prepared for public school they will be. Their parents miss many days of work and
spend additional money for health care for the child.
Our Healthy Homes program has established a multidisciplinary Community Task
Force to address Asthma in New Hanover County The Healthy Homes nurse has
facilitated Open Airways classes for school age children, facilitated Asthma Camp
applications, worked on Asthma Month community awareness activities, and even raised
funds for Asthma camps. She has worked one on one with families of Asthmatic children
to help them access care and equipment, and identify environmental triggers at home.
Forty-four Family Child Care providers have been served as well, with referrals to our
Child Care Health Consultants for further follow-ups of children with Asthma in their
child care homes.
Needs Statement
New Hanover County (16.4%) ranks above the state average (\3%) 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. This school
year, our school nurses had made five 911 calls within the first month. These were all
related to Asthma. In the spring of99, 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,
N.C., based in Wilmington, gets calls as well, mainly from parents concerned about how
to deal with multiple school absences.
The regional American Lung Association hosted Rockfish Asthma Camp, near
Fayetteville, N.C. in May, 2000 and 33% ofthe participants were from New Hanover
County This was a result of the New Hanover County Asthma Task Force efforts. A
local one- day camp was held May 19,2001, with twenty-five children in attendance to
leam about Asthma. Our local Child Fatality Prevention Team has reviewed one death
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with the cause noted as Asthma in the last 2-3 years, even though we feel there have been
others related.
Asthma Statistics from the local Medical Center:
Fiscal Year 1998 Data for age::: 17
. 99 admissions
. Hospital charges greater than $310,000
. 68% Medicaid
A one- month sample of Emergency Room visits at New Hanover Regional
Medical Center was examined during the Spring 2000 There were 60 visits officially
coded as the complaint being Asthma, while many other visits may have been coded to
other respiratory symptoms.
Description of the New Hanover County Childhood Asthma Task Force - Evidence
oflocal collaboration
We presently have representation from the following organizations/groups:
. Child Care Nursing
. American Lung Association - Regional
. Project Assist
. Community Pharmacist
. Respiratory Therapist from Medical Center
. Healthy Homes Nurse
. Sales Representative from Medical Supply Company
. Music Therapist from Medical Center
. Program Analyst from Children's Outpatient Support Services at Medical Center
. School Nurse
. Physician (local Allergist/Asthma Specialist)
The mission of the New Hanover County Asthma Task Force is to improve the
quality oflife for children with Asthma in New Hanover County, by involvement in
activities which: encourage the use of National Asthma Education Clinic Practice
Guidelines; increase the level of Asthma education to families, health care personnels,
and general public; help eliminate environmental triggers; and assist in data collection to
determine the extent of problems in New Hanover County
Task Force 20als include:
. Improving the recognition/diagnosis of Asthma and treatment/medical
management
. Decreasing hospitalizations and emergency visits
. Increasing levels of self management and compliance with treatment
regiments
. Decreasing school absences
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Goals/Obiectives/Interventions for workinl! with Dreschoolers
1.
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To provide Asthma education and training to professionals, child care
providers, parents, and children.
A. Schedule classes for professionals (1 per quarter).
B. Visit Child Care facilities to provide staff education (I group per week).
C. Refer to Child Care Health Consultants to develop individual Asthma
plans.
D Work with parents of Asthmatic children to access health care.
E. Use "A is for Asthma" curriculum with preschool children (2 sessions of
20 preschoolers per week).
To reduce environmental triggers for Asthmatic children.
A. Offer home visits to families to help identify environmental triggers (2
home visits per week).
B. Help Child Care providers identify environmental triggers in their
facilities (2 visits per week).
C. Encourage families to quit smoking or reduce smoke exposure for their
Asthmatic child.
D Work with Project Assist Smoking Cessation Program to do community
awareness and find resources for parents to quit.
E. Assist families with low cost or free interventions to make their home
healthier for their child.
To network in our community to set up long term support for Asthma
education and services for children with Asthma.
A. Continue to add to membership of New Hanover County Asthma Task
Force.
B. Work with agencies such as Family Support Network to establish more
support for families of Asthmatic children.
III.
Evaluation Component
Data will be collected on all services provided: numbers of families and children
served, educational sessions, child care facilities visited, home visits made, membership
of task force, event specific groups, money raised, etc. Pre and post- tests for knowledge
acquisition will be used in classes, as well as evaluation of presentations. We will try to
obtain information, with parent permission, on numbers of doctors' visits over the year
after all interventions are put in place. We can also monitor days out of child care, "sick
days."
Sustainabilitv
We will continue to look for funding sources for the Healthy Homes nurse;
however, the additional 16 months of Smart Start funding would allow us to further
develop an ongoing Asthma Task Force, educate the public and affect many individual
preschool children's long term health.
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Budget Narrative - Healthy Homes
9/1101 - 12/31/02
New Hanover County Health Department
11) SalarvlBenefits: Licensed Practical Nurse 20 hours/week @$14.59/hr = $15,174/yr
Fringe (1/2 offFTE): Retirement: $744 00
Social Security' $1161 00
Long Term Disability' $34 00
Medical & Dental Ins. $2454.00
Total Annual Salary and Benefits: $19,567/ 12 =
$1,630/month for 16 months = $26,080
14) Office Supplies: $300.00
paper, folders, desk supplies
15) Service Supplies: $537.00
$250.00 uniform for nurse
$287.00 educational material, incentives, low cost interventions (cleaning
supplies, mattress covers, etc. for asthma)
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17) Travel. $683.00
Around town mileage @ .34 mile
81 miles/month = $27 75/month = $333/year
Out-of-town miles, hotel, and food @ $30/day = $350
20) Printing: Educational materials, flyers, mailings = $400
23) Training: One employee to attend asthma related workshops = $150
24) Advertising: Asthma related services or educational offerings = $450
Total $28,600
Inkind
The New Hanover County Health Department will provide a workspace, telephone,
computer, access to office machines, postage, and administrative support and supervision
for the Health Homes Program.
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HEALTH
NEW HANOVER COUNTY BOARD OF Ct.IIJr1MI,5hJi~Eli 3
REQUEST FOR BOARD ACTION
Meeting Date: 06/J.l8/01
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Department: Health Presenter: Betty Jo McCorkle, Women's Preventive Health Director
Contact: Betty Jo McCorkle, 343.6660
SUBJECT:
Grant Application for "Diabetic Care For Prenatal Patients" for $25,050 from
the North Carolina Medical Society Foundation
BRIEF SUMMARY:
We are requesting approval to apply for a $25,050 grant from the North Carolina Medical Society
for "Diabetic Care For Prenatal Patients" The grant is for "supplies for self monitoring and
diabetes control" for women who develop gestational diabetes mellitus (GDM) as a complication
of pregnancy The program will be for the indigent population who are uninsured/underinsured
and/or who do not qualify for Medicaid for pregnant women. A large percent of these women are
of Hispanic, Indian, Native American and Chinese origins, as well as, a smaller number of
Caucasian and Black American Women.
Pregnant women at risk for developing gestational diabetes mellitus are referred by physicians to
the high risk obstetrical clinic at Coastal OB/GYN at New Hanover Regional Medical Center At
the clinic, the Public Health Staff provides both nutritional and diabetes monitoring/insulin
injection education. The staff acknowledges the lack of supplies and medications for these
patients. The goal in the treatment of women with gestational diabetes is to decrease risks to the
fetus and to improve the odds for a good birth outcome (healthy newborn baby). It is also to
guard and improve the health of the pregnant women. This is best accomplished through careful
monitoring and the use of insulin if indicated. This cannot be accomplished without the needed
supplies and medications being made available to every woman in need of them.
RECOMMENDED MOTION AND REOUESTED ACTIONS:
Approve grant application for $25,050
FUNDING SOURCE:
Grant from the North Carolina Medical Society
ATTACHMENTS:
yesA pages including a budget page
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NC Anomey .General's Healtb Access Grant Project
Guidelines and Application InstIUctions
The North Carolina Medical Society Foundation was chosen by the North Carolina Attorney
General's office to distribute $650,000 in grant funds to be used to provide medical care and/
or pharmaceutical assistance to the citizens of New Hanover, Bladen, Brunswick, Columbus,
Pender, and Robeson Counties who may otherwise be unable obtain care and assistance.
These funds are available as a result of a settlement reached by Columbia/HCA Health Care
Association and the North Carolina Attorney General's office.
Guidelines
. Grants will be awarded for proposals that benefit the citizens of the counties served by the
former Columbia Cape Fear Hospital to include New Hanover, Bladen, Brunswick,
Columbus, Pender and Robeson cOl;lnties only.
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. Grants will be awarded for medical care including: primary care, preventive care, dental
care, health care equipment facilities, prescription drugs, and mobile clinics.
. Grants will be awarded for proposais that serve citizens who may otherwise be unable to
obtain care and assistance. Proposals must focus on health care delivery to the indigent
underserved and jJninsured populations, including the working poor.
. Priority will be given to proposals that reach the maximum number of residents in the
defined geographic locations. The number of the targeted populations being served by the
proposals and geographic distribution of qualified programs will be major factors in
determining where funds are given.
. Grants are onetime only and will be awarded for a one year period.
. Grants will not be made to influence legislation, or to influence the outcome of any public
election.
Eligible Organizations
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Only County Health Departments and non-profit organizations that qualify for exemption
under Section SOllc1l3) of the Internal Revenue Code and that serve New Hanover, Bladen,
Brunswick, Columbus, Pender and Robeson Counties are eligible to apply.
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North Carol:lDa Hedical Society Foundation
Grant Application For
"Diabetic Care For Prenatal Patients"
Problem: Need for supplies for self monitoring and diabetic control for women who
develop gestational diabetes as a complication of their pregnancy. These supplies/medications
would be utilized by the indigent population who are uninsured and do not qualify for Medicaid
for pregnant women. A large percentage of these women are of Hispanic, Indian, Native
American, and Chinese origins. In addition, there are a smaller numbers of Caucasian and
African American women who have some income and perhaps insurance. However their
insurance does not include prenatal care or cover these supplies, but their income prohibits them
from receiving Medicaid. Hispanic women and the medically under-served in general have been
found to be at greater risk for developing GOM (gestational diabetes mellitus).
These women reside in New Hanover, Pender, Brunswick, Columbus and Bladen
counties. They are often referred by their physician to the high risk obstetrical clinic at Coastal
OB/GYN located at NHRMC. The Public Health Staff provides both nutritional and diabetes
monitoring/insulin injection education for these patients.
Gestational Diabetes mellitus is defined as any degree of glucose intolerance with onset
or first recognition during pregnancy. Approximately 4% of all pregnancies are coinplicated by
GDM. However, the prevalence may range from 1 to 14% of all pregnancies, depending on the
populations studied. The presence of fasting hyperglycemia may be associated with an increase
in the risk of intrauterine fetal death during the last 4-8 weeks of gestation. Furthermore, GOM
increases the risk offetal macrosomia and other neonatal morbidities including hypoglycemia.
GOM is associated with an increased frequency of maternal hypertensive disorders and the need'
for cesarean delivery. The goal in the treatment of women with GOM is to decrease risks to the
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fetus and this is best accomplished through careful monitoring and the use of insulin if indicated.
This cannot be accomplished without the needed supplies and medications being made available
to every woman who is in need ofthem.
Typically GDM occurs in the later weeks of pregnancy and if the woman is found to need
monitoring only, she will need the following: glucose monitor ($65),8 bottles oftest strips for the
monitor ($296), 4 boxes of lancets ($22), 4 boxes of alcohol preps ($7), and 4 bottles of urine
ketostix ($43). If insulin is needed, 2 boxes of syringes ($32), and 3-4 vials of insulin
($63-$84), are also required for the treatment regimen. This brings the average cost of
monitoring one woman with GOM to $433 , and if insulin treatment is required $549.
We have approximately 50 GDM women, half of whom need insulin as well as
monitoring. This projects a total of$ 24,550. We would also need $500 for educational
materials to included an lnjecta-Pad ($100) for teaching insulin self administration and written
material to send home with the patients ($400). This brings the total amount requested for
provision of care for these GDM women to $25,050.
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"Diabetic Care For Prenatal Patientsn
Budget Summary
Diabetic Supplies for 90 days for one patient
* Glucose Monitor
* Test Strips for Monitor ( 8 bottles)
* Lancets (4 boxes)
* Alcohol Preps (4 boxes)
* Urine Ketostix (4 bottles)
* Insulin (3 -4 vials)
* Syringes (2 boxes)
TOTAL A
TOTAL B
65.00
296.00
22.00
7.00
43.00
84.00
32.00
549.00 (if insulin-dependent)
433.00 (if NOT insulin-dependent)
Proposed Need: Supplies for 50 Women
A 25 insulin-dependent
B 25 non-insulin-dependent
TOTAL
13,725.00
10,825.00
24,550.00
Educational Supplies
* lnjecta-Pad
* Patient Educational Material
TOTAL
100.00
400.00
500.00
DIABETIC SUPPLIES
EDUCATIONAL SUPPLIES
24,550.00
500.00
GRAND TOTAL
$25,050.00
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Environmental Health Division
PROPOSED REORGANIZATION
We propose reorganization to create a more efficient and productive work group. At
present, one field supervisor oversees a staff of eleven Environmental Health Specialists,
Environmental Health Program Specialists and a Soil Scientist. Staff performs duties in
specialized disciplines of environmental health. We propose changing the supervisor to a lead
position with field duties and less responsibility for managing personnel plus reclassifying two
other positions to have similar responsibilities. These positions will have the title of .Senior
Environmental Health Program Specialists. and be classified at PT08 ($47,486 - $72,842)
whereas the Environmental Health Program Specialists and Soil Scientist are classified at PT06
($42,598 - $65,395).
It is highly desirable to provide a strong support system for field staff. The most effective
way to do so is to decrease the supervisor/employee ratio. The effective supervisor or lead staff
person should perform some field duties similar in nature to the duties of the employees that
they supervise in order to continue enhancing their knowledge base and problem solving skills.
A structure of three (3) field staff teams each with a lead staff person will allow the meeting of
both objectives. Through a coach/mentor style, the lead staff person will provide leadership and
supervision, yielding more harmonious and productive work units.
The process for obtaining authorization from the NCDENR Division Of Environmental
Health to enforce state environmental/public health laws and rules has become more structured
in procedure and requirement. Authorization in the past was lumped into two (2) broad
categories, (1) Food, Lodging And Institutions, and (2) Wastewater. Added disciplines of
regulatory responsibility and increased potential for litigation have made it necessary to more
thoroughly evaluate the knowledge level and proficiency of skills required to perform these
duties. These changes too support the need to more closely monitor individual performance,
which will be facilitated by the team/team leader relationship and smaller work units.
22
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Environmental Health Division
PROPOSED FEE CHANGES
Body Piercing Artist Permit
Temporary Tattoo Artist and/or Body Piercing Permit
(Do not have information available to project a revenue amount)
Projected # of permits:
Body Piercing (4)
Projected Revenue From Body Piercing Permit:
Increased Revenue (110-510-5111-4118)
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$800
$800
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Animal Control Services
Proposed Fee Increases
Proposed Effective Date - July 1, 2001
Recommended fee increases in Animal Control effective July 1,2001:
Breeder Permit
Current
$10,00
Proposed Fees
$20,00
Co IlarslLeashes
$3,00
$ 5,00
Boarding
$8,00
$10,00
Increase With Fee Chan2e
$ 650 (65 x $10)
$ 340 (170 x $2)
$ 2,682 (447 x 3 x $2)
Euthanasia Fee $20,00 $ 200 (lOx $20)
(These fees account for the increase sbown below in revenue source 4109 -Animal Control Fees.)
Licensin2 (includes < lyear pets @ 1 year neut, fee)
1 Year/Neut. $ 9,00 $10,00
1 Year/Intact $18,00 $20,00
3 YearslNeut,
3 YearsIIntact
$21.00
$42,00
$25,00
$50,00
$20,000 (20,000 x $1)
$20,000 (10,000 x $2)
$40,000 (10,000 x $4)
$40,000 (5,000 x $8)
Kennel Licensin2
5-10 pets $40,00 $ 45,00 $ 825 (165 x $5)
11-20 pets $60,00 $ 70,00 $ 750 (75 x $10)
21 or more pets $80,00 $100,00 $ 200 (10 x $20)
(These fees account for the increase shown below in revenue source 4166 -Dog & Cat Tags.)
Fiscal Year 2001-2002 Proiected Revenue
FY Bud2et Reouest PropOsed Revenue
4109 Anima1 Control Fees $ 35,000 $ 38,872
4134 Citations Anima1 Control 48,000 48,000
4166 Dog & Cat Tags 415,044 536,819
4190 Dog/Cat Adoptions 35,000 35,000
-..----------- -----------
Totals $533,044 $658,691
Increase
$ 3,872
o
121,775
o
$125,647
Note: Estimates are derived from our current year to date services/earnings for FY 2000-2001,
Total increase from original FY02 revenue budget request is $125,647,
.
ACS F~,wpd
JPM 05/18/01
25
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 1'T"1 STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
..........-.-.
DAVID E. RICE, MoP.8.. M.A.
Health Director
LYNDA F. SMIm, MoP.A.
Assistant Health Director
May 29,2001
To'
New Hanover County Board of Health
Cynthia W Hewett, Business Office~J\.
From:
Subject:
CPT Codes and Rates
Effective June 1,2001
We are requesting approval to increase rates as indicated for CPT codes listed below We
have estimated that revenues for FY 02 will increase by $11,782.80 Please reference the
attached spreadsheet for further information.
Code Description Current Medicaid Proposed
Rate Rate Rate
99201 Office Visit New Levell $43 00 $60 00 $60 00
99202 Office Visit New Level II $60 00 $90 00 $90 00
99203 Office Visit New Level III $86 00 $12800 $12800
99204 Office Visit New Level IV $12600 $18800 $18800
99205 Office Visit New Level V $159 00 $236 00 $236.00
99211 Office Visit Est Level I $23 00 $33 00 $33 00
99212 Office Visit Est Level II $37 00 $55 00 $55 00
99213 Office Visit Est Level III $5100 $76 00 $76.00
99214 Office Visit Est Level IV $79 00 $118.00 $118.00
99215 Office Visit Est Level V $118.00 $176.00 $176 00
99383 Preventive Visit New 5-11 $11900 $15400 $154 00
99384 Preventive Visit New 12-17 $14500 $16900 $16900
99385 Preventive Visit New 18-39 $135 00 $16700 $16700
99386 Preventive Visit New 40-64 $14500 $19900 $19900
99387 Preventive Visit New 65 & over $145 00 $21500 $21500
99393 Preventive Visit Est 5-11 $10600 $12600 $12600
99394 Preventive Visit Est 12-17 $122.00 $14600 $14600
99395 Preventive Visit Est 18-39 $112.00 $142.00 $142.00
99396 Preventive Visit Est 40-64 $12000 $158 00 $15800
99397 Preventive Visit Est 65 & over $11700 $17500 $17500
N ~ '1iV.t/H - ~ n..r...~"
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27
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH I1fH STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
-_._.
DAVID Eo RICE, M.P.H., M.A.
Health Director
LYNDA F. SMITII, M.P.A.
Assistant Health Director
May 22, 2001
TO: New Hanover County Board ofHeahh Executive Committee
From: Lynda Smith, Assistant Health Director
Subject: Recommended FY 2001-2002 Budget
Enclosed information on the Recommended Fiscal Year 2001-02 Budget includes the
following:
A summary from Allen O'Neal, New Hanover County Manager, to the New
Hanover County Board of Commissioners and Citizens regarding his
Recommended Budget for FY 2001-02
Summary pages from Cindy Hewett, Health Department Business Officer,
comparing the Health Department's FY 2001-02 Budget Request to the FY 2001-
02 Recommended Budget
The County Manager's Recommended Budget was presented to the County
Commissioners on Monday, May 21, 2001. The Board of Health will have an
opportunity to appear before the County Commissioners on June 4, 2001 @S:45pm for a
Budget Hearing. If there are items in the Requested Budget that are not in the
Recommended Budget, and the Board of Health wouid like the County Commissioners to
reconsider these items, you will have that opportunity during the June 4 Budget Hearing.
Please mark you calendars to attend the budget hearing on June 4, 2001 @S:45pm.
lfs 5/22/01
"~ ~r/d - ~ .1\,*,I'<~,"
28
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NEW HANOVER COUNTY
ALLEN O'NEAL
COWlty Manager
OFFICE OF TIIE COUNTY MANAGER
320 CHESTNUT STREET, ROOM 502
WILMINGTON, NORTH CAROLINA 28401-4058
TELEPHONE (910) 34/-7/84
FAX (910) 341-4027
ANDREW J. ATKINSON CPA
Deputy COWlty Manager
PATRICIA A. MELVlN
Assistant COWlty Manager
DAVID F. WEAVER
Assistant COWlty Manager
414 Chestnut Street, Room 101
Telephone (910) 341-7139
Fax (910) 3414035
May 21,2001
To the New Hanover County Board of Commissioners and Citizens:
I present to you the recommended budget for fiscal year 2001-2002. After thorough
review, I propose a tax rate of 69 cents, an increase of 8 cents over the current tax rate.
This increase is required to fund the County's responsibilities including debt payments,
services to the citizens, unfunded mandates, and the State's shift of program costs to
the County.
e
This was a challenging budget to prepare. While the increases in expenditures were
anticipated, the process of balancing the budget became more difficult by the
Governor's freezing of reimbursements in the current year and the economic slowdown.
The estimated revenue from the current tax rate of 61 cents is not sufficient to balance
the following major increases in expenditures:
Expenditure Increases - FY 01-02
Debt Service/General Fund $ 4,706,333
General Fund Transfer to Schools 7,076,609
Full Year Implementation of Pay and Classification Plan 3,371,517
Department of Social Services - Medicaid 1,857,572
Medical and Dental Insurance 400,000
Veterans Park - Operating Expenses and Staffing 452,253
$17,864,284
e
The recommended tax rate of 69 cents will fund the above increases and basic County
operations. There are no expanded services in the recommended budget except
expenditures related to the opening and maintenance of Veterans Park. Departmental
operating expenses are below the FY 00-01 adopted amounts. Very few capital outlay
items are recommended.
29
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New Hanover County Board of Commissioners and Citizens
May 21, 2001
An amount of $2.3 million is budgeted for intangible tax reimbursement, and almost $2
million is budgeted for inventory tax reimbursement. These reimbursements were
promised as continuing sources of replacement funds for locally levied taxes that were
repealed by the General Assembly. The biennial budget for 2001-03, as proposed by
Governor Easley, includes all reimbursements to local governments. However, if the
General Assembly eliminates the reimbursements without replacement revenue, the
County budget will have a $4.3 million gap. If the reimbursements are not made to the
County, substantial changes to the budget will be required, including elimination of
some departments, employees, and funding for most non-County agencies.
FUND BALANCE
It is imperative that the County maintain a strong financial position, especially in view of
the State's current financial situation, even if it requires a tax increase. No fund balance
is appropriated in the recommended budget. Since FY 98-99, the County's fund
balance has decreased. New Hanover County must take steps to reverse this trend. A
strong fund balance is important to the continued financial strength and maintenance of
our excellent bond rating. The maintenance of a healthy fund balance is among my top
priorities for FY 01-02 and beyond.
ENVIRONMENTAL MANAGEMENT FUND
A transfer of $2.5 million from the General Fund is projected to balance the
Environmental Management Fund.
The recommended tipping fee is $35, an increase from the current fee of $32 per ton.
Staff and the Solid Waste Advisory Board, who are knowledgeable in this field, continue
to review ways to provide waste disposal services to the citizens in the most efficient
and equitable manner. Long-term financial management and operations decisions must
be made in FY 01-02.
FIRE SERVICE DISTRICT
An increase of 1 cent (from 4 cents to 5 cents) is recommended for the Fire Service
District tax.
The impact of the City's annexation plan on the Fire Service District will continue to be
reviewed by the Fire Commission and reported to the Board of County Commissioners.
30
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New Hanover County Board of Commissioners and Citizens
May 21,2001
WATER AND SEWER DISTRICT
The Water and Sewer District currently provides service to approximately 26,000 water
and sewer customers (residential and commercial). This is more customers than are
served by most municipalities in North Carolina. The District's current operation and
future expansion are funded by user fees and a $2.4 million transfer from the General
Fund.
CAPITAL IMPROVEMENT PROGRAM
No funds are included in the recommended budget for new capital projects. It is
unreasonable for the Commissioners or the public to expect that, in the future, capital
projects will not be brought forth and considered for funding. The County continues to
grow and the demographics are changing. The current infrastructure of schools, parks,
libraries, court space, and other public buildings must meet the community's needs.
The one-year elimination of capital projects will not be a trend the County can sustain if
it wishes to remain competitive in recruiting new industry and business investment in the
community while maintaining the quality of life for which we have become known.
ACCOMPLISHMENTS
Summarized below are a few of the many items that the County and its staff have
accomplished during the past fiscal year.
. Environmental Management's constructed wetlands project was selected winner
of the Outstanding County Program, awarded by the North Carolina Association
of County Commissioners.
. The Sheriffs Department received a grant to fund 11 additional school resource
officers for the next three years.
. The Board of Elections, for the first time, offered "No Excuse Absentee Voting
for One-Stop" to make voting easier.
. The Board of County Commissioners approved a Storm Water Management
Ordinance.
. The Finance Department was awarded the Certificate for Excellence in Financial
Regorting from the Government Finance Officers Association (GFOA) for the
19 consecutive year.
. The Budget Department was awarded the Distinguished Budget Presentation
Award from the Govemment Finance Officers Association (GFOA) for the ninth
consecutive year.
. Employees in Emergency Management, Health, and Social Services received
recognition for outstanding performance from state and national organizations.
31
e New Hanover County Board of Commissioners and Citizens
May 21,2001
. New Hanover County received a Storm Ready Award from the National Weather
Service.
. The Northeast Regional Library, including the UNC-W education facility, was
opened.
. Work began on the new jail, judicial building expansion, library renovation,
parking deck, and preparing the Commissioners' Assembly Room for televising
meetings.
Future Concerns
As pointed out in the budget work sessions, the challenges faced in developing this
budget will continue into FY 02-03.
e
. Balancing this recommended budget depends on appropriating $3 million of the
Schools Fund/fund balance to partially offset the increased debt service in this
fund. Current projections are that $1 million will be available to appropriate in
FY 02-03. The increase in school debt service between FY 01-02 and FY 02-03
is estimated to be $1.4 million. This increase, as well as having only $1 million
in the schools' fund balance, will require over a 2 cents tax increase without any
changes in the schools' FY 02-03 budget.
. In the General Fund, debt service is estimated to increase $3.8 million between
FY 01-02 and FY 02-03 with no additional projects. An increase of 2.4 cents in
the tax rate will be required to fund this increase.
. There are changes occurring in Foster Care and Temporary Assistance For
Needy Families (TAN F) that may impact County funding. It is anticipated that
dollars required to fund the local share of Medicaid will continue to increase.
. The General Assembly is reviewing the manner in which mental health services
are provided state-wide. If changes to the current system shift responsibilities to
the counties without the commensurate funding, local costs will rise and taxes
may have to be increased to provide services.
. A pay plan adjustment will be needed for County employees in the FY 02-03
budget. The County will be required to provide any increase to the locally-
funded school positions that the State provides for state-funded school
employees.
e
. The State Higher Education bond referendum that passed in November of 2000
will provide funding for three new Cape Fear Community College buildings,
which will increase the County cost for maintaining the buildings.
32
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New Hanover County Board of Commissioners and Citizens
May 21,2001
. No funds are included in the recommended budget for new capital
improvements. In future budgets, funding for capital projects will be needed.
The most urgent need is to renovate or replace the County Administration Annex
Building.
. Recent changes in the price of motor fuels have raised concerns about the
intensity of the economic downturn. If significantly higher fuel prices continue
beyond this summer, this will have an economic ripple effect, and County
budgets will be impacted accordingly.
. I reiterate the need to maintain a healthy fund balance. This becomes more
critical as the State's financial position appears to be weakening. Protecting the
County's financial integrity as we strive to meet the future needs of the
community is paramount when we seek financing for capital construction and
infrastructure development.
Future Plans
A financial plan will be developed and presented to the governing body for approval to
fund the infrastructure and operational needs of the Enterprise Funds.
During the first quarter of FY 01-02, I will design and request approval from the
governing body to implement an employee reduction plan for County government so
staff and services can be reduced in a systematic manner to meet the challenges of the
FY 02-03 budget.
During FY 01-02, all employees will be required to take two days of leave without pay.
Department heads will be required to ensure that services to the citizens are not
interrupted and temporary salary and/or overtime expenditures not increased. This will
reduce County cost more than $400,000. This is not a pattern the County should
promote or institute as a long-term mechanism to reduce operational expenditures.
Continuation of this practice will result in service reductions and decreases in employee
morale. As I have said in the past, employees are the primary resource by which
County services are provided. The services are only as good as the employees that
deliver them. Morale and loyalty will be eroded if this becomes a method to balance
budgets.
The General Assembly must be kept aware of the needs of local governments for
altemate sources of revenue. Additionally, the financial hardship that program
mandates, shifting of program responsibility, and freezing local reimbursements has on
local governments must be made clear.
33
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New Hanover County Board of Commissioners and Citizens
May 21 , 2001
Thanks to County employees, New Hanover County continues to provide high quality
services to the citizens. As the County faces many challenges, I know the citizens can
continue to expect and rely upon a high level of employee dedication. But static or
reduced staffing of expanding facilities can be stretched only so far.
I am personally and professionally grateful to the employees of New Hanover County
They are hardworking, dedicated, and support the community by giving generously of
their time, talents, and financial resources to community charities. The quality of
employees has improved in the last ten years, and I sincerely request the Board to
maintain salaries at appropriately competitive levels. Without the appropriate level of
competitiveness, the service delivery to the citizens will be diminished, al'\d the
character and quality of life in New Hanover County will suffer.
I wish to thank the New Hanover County Board of Education and staff, particularly Dr
John Morris, Superintendent, and Mary Hazel Small, Finance Officer, for their
cooperation and understanding during this the most difficult of budget years.
I also want to thank the County Budget Department staff for their efforts to develop a
budget acceptable to citizens and the Commissioners during a challenging budget year.
The staff and I look forward to working with you as the FY 01-02 budget process is
completed.
Sincereiy,
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All n O'Neal
County Manager
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New Hanover County
Health Department
Recommended -vs- Requested
FY 02 Budget
Summary
May 29, 2001
Capital Outlav: IT Requests for FY 02. . .
CeBJpl:lteFS fer Dep! (39)
PrintefS
$59,599
$ 8,19(}
$ 5,59(}
1& 13,89(}
PFsjeeter &. StaBe fer )~C
LllJ'teps fer EuistiBg Stflff(11)
HUBS, Caeles at Other Perij3aeFBls
It 11,1SQ $ )28.~JO
AS400
$ 50,000 $ m,3jO
$199,099
$ 7,250
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8eftY/Bre fer Ew,"irBFlIHetHal Health
$ 368,330
$ J7S,600
Software for veClOT Conuol
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TOTAL IT Requests: :",~';, >;,
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1&392,190 -'=-"-!~~-,47t" '
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$50,000
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Capllal OUOav: ExcludlnD IT Requests
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Organization
Q<y Descripl:ion
1 Map/PlanReliew RleCatJnel 1600
1 ,~fo" Tracto! i'96OO
1 86' na;1 MOmll 6
1 1S' RutoIJ Mum:lI 6
1 O..-c'ci6v,,;)BI~ 9TlI66
4 Mu;)yuitv 3lJ1dytm) 6T85
iJo~9I'w.'E..;tdl 2OOllO
Pi:illlUUlIlb. AlA1Itu.lulll l!tJYj
T""'eo.
, ErlIironmental
;~I!GtoI'-~,lrol
1600
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P.nimal CQRtrol
Mrllhd:;llClllUlI
26~ 264146
200llQ
20000
$<00,/40$1600
Total Combined Capital Requests:
$245,740 I $392,400 ~ $638,140
$1,600 + $50,000 = $51,600
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, ~f~ 1 Adm Spt Tech $32.26!!
'1'\' AnlmalCO I 1 Shelter Attendant $26,
. ~: 1 Lead AC Officer ,242 $58,968
r~:!i . Administration ~pldemiologlst S57,1~~
.' ,.0 m Spt Tech $32.265
l' \\.~", c, , ' In Sup Spec $44,000 $133,384
o'\W, cob _ " Adm Sp $32.265
, ..." ,,,Child Health Adm S $32,265
:),(': _ 'School Haalth P $87.184
,:+ " dm Spt Tech $27,478
$114,663
$ 444,361
Note: The Sch ealth positions are 10 month positions and ha en
. f1ectsuch, These are also 100% funded through School
County Appropriations:
$)29,698
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Summary of Requested Expenditures for
New Positions and Capital Outlav for n 02 . . .
$ 444,361
Salary and Fringe(New Positions)
Capital Outlay:
Computer Requests
Other Equipment
Other
Building
$ 392,499 $50,000
S 128,149 $ 1,600
$ 20,090
$ 97,600
Total $ for New Positions and Capital: S 1,982,591 $51,600
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15114
15121
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5158"
Wl5157
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-15180
6181
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6187
6188
15172
5174
cne
6180
5181
6182
61815
OrganlaaUon FY0CM)1 Requ....d'fte._mm.nd.d Chang.
En'<lronment8l He8Ith S330.808 S330.l508 $33O,aoe SO
Vector COntrol $12$,3&3 $130,000 $135.000 $0
An.mai ContRll $523,441 ~.044, 5533,044 $0
~ry $2,000 $1,500 $',500 SO
Administration $83,340 $83,340 $83.340 $0
ChIld Sel"k:e COordln8l:1on $478.587 $388."7 $3Qa,fi7 SO
'PF~ot $9&.000 SO 524,000 S:U,OOO
'WIC $335.58" $335,588 $336,1588 $0
.NutrlUon I''',asl $15,000 $115.000' $0
EpkMmlology $209,473 $201,885 $201,88& $0
Tub8n:uloIls $115,401 sea.Me $8&.850 $0
T_n Akis P.......ntlon 555.000 136.000 $20.000 ($15,000)
.tQ~OI' $157.344 $2DO.344 $70,000, ($220.344)
Chid ca;:. COnaUttant ~."2e- $57,800 $20.000 (537.QVO)
Ko.n.n GIant S 115.238 $0 SO $0
'M8l:emIII Qut.-.eh $50,000 '74,000 $24.000, (S50.ooo)
TANF ~.812 $48,812 $48,812 SO
. Maternity C8fe $43G,OCM S353,OSl4 S3M,084 $0
H-'lh Cheek $38.0e0 $38.287 $15,000' ($2-4,287)
. P.,.onlIl Health $35,643 S3,&lO S3,l5OO SO
.Maternal Health $126,579 $120,828 $120,828 SO
. FtIfT10y Planning S22Sl,554 $217,&80 $217,8&0 SO
,BCCCP $24,265 $24.2&5 $24,2&S SO
.Partnerahlp br ChIldren $138.840 $1150,000 $150,000 ($100,000)
,Child Health $1150,619 $130,138 $130,138 $0
Sehool H-'lh $601.748 $874,642 $711,ae1 ($162,681)
Ne\JroIogy $38,426 $27 433 $27,433 SO
Jail Health $22,500 54,000 $4,000 SO
CSHS $27,6!54 524,&41 $24,~1 SO
Risk Recluetlon $22,648 $21,014 $21,014 SO
PtoJeet Assist $46,033 $42,133 $42,133 SO
Health Education $35,825 $3&,178 $3S,178 SO
'Healthy carolinians $10,000 $0, SO SO
Total. $4,665,484 54.701,701 $4,122,388 ($586,302)
"Grantflmde<lProgram
(Addlllonal GrantS E"P.~d) $447,e21
Olfl8renca ($138,681)
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5112
5114
5121
5131
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5141
5142
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-6154
"5155 H
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*5157
k' 5158
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*5160
5161
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5169
5172
5174
5178
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5181
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Organlutlon FY 00.01
EmArcnmental Health $822,030
VeclOl' Control 5490,101
Anima. Control ~1 ,&59
Laboratory $398,611
Admtnlstrallon $Q66.297
Soan:! 56.745
ChIld SeNe. Coordination ~,887
PFc-NiNgalor $&6,000
WIC S35e.496
Nulrillon 583,418
Epidemiology $1,265.063
Tubefculoe.. S230.072
Teen Aldt; pnr,enuon 565.773
.N8\iQIIlor $181,710.
ChIld cn-eon.ultanl see.718
Kcinen Grant SHi,239
Malllmlll Outreach $50.000
TANF $53.462
Malemlly Care $366,239
Heallh Cheek $40,518
Personal He8l1h $116,434
Matem81 Heellh $252.561
Family Planning $620,121
BCCCP $12,265'
Partnetahlp for Children $145,733
Child Heallh 5355,894
Dental Health 543.859
SChool Health $611.677
Neurology $20,669
Jail Heallh $752,653
CSHS $20,749
Risk ReOuclion $47.126
Project Asslsl $48,700
Health Ed\,ll;8llon $107433
Heallhy CaroIloians $10,000
Totel. $10,748,1110
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Requ."d. Recommended Cluing.
$1,096,374 S8OO,707' ($195.667)
$e1',334 $402,093 ($209.241)
$1,058,140 $920,&49 ($137,291)
5415,125 $414,149 ($976)
$941,528 $OO9.OW ($272,431)
54,945 $4,073 (S872)
$526,7!l1 S398.9ll7 ($127,754)
$175,333 $24,000 ($151.333)
$432,842 5335,:589 (5'17,253),
193.171 SQ2,8W ($274)
S1.227.24e $1,200.879 ($26.367)
$264,1513 S2e3,080, ($1,533)
$48,953 $20.0001 ($28.953)
S172,2BQ $70,000; ($102,289),
m,m $20,000 ($38,269)
SO SO SO
$74,223 524,000 ($50.223)
SS8,187 $49,g12 ($8.275)
S4OO.0434 $353,094 ($47.340)
$3Q.580 $15.000 ($24,580)
$792,533 $708,709 ($83,824)
$287,178 $285,078: ($2,100)
$641,487 $721,351 SN,e64
$12.265 $12,025 ($240)
$138,780 S50,ooo ($88.780)
$379,151 S342,!564' ($36.587)
$43,973 $43. 7~ ($238)
$892,314 $711,961 ($160.353)
$20.66Q $20.554 ($115)
$66Q,917 $668.028 ($1.889)
$37.568 $23,075 ($14.493)
$45,565 $45.342 ($213)
$&),902 $42,133 ($8,769)
$110,652 "09,128 ($1,524)
SO SO SO
$11.822,278 $8.M2.,0St7' ($1,860,182)
(Addltiona. Grant S ~clIId)
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$333.004
($1.527,088)
Total Cost to CountV for n 02
FYOO.o1 Roquesled Recommended Change
Total Expendlureo $10,746.910 $11,822,279 $9.962.097 ($1.860.182)
'TotaiRe-.enue 14.685.494 14.708.701 14.122,399 (1586.302)
County Approprialtono $6.061,416 $7.113,518 55.839.898 ($1,273,880)
The Recommended Budget for FY 02 represents a
decrease in County Appropriations from FY 01
of$221,718 or 3.66%
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17TI1 STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
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DAVID E. RICE, M.P.H., M.A.
Health D~ctor
TO: New Hanover County Board of Commissioners
LYNDA F. SMITH, M.P.A.
Assistant Health Director
From:
Date:
Subject:
New Hanover County Board of Health
June 4, 2001
FY2002 Budget Appeal
The following items were requested in the Health Department's original Budget Request for FY
2002 but not included in the Recommended Budget for FY 2002. The New Hanover County
Board of Health approved these items on Tuesday, May 29, 2001 for re-consideration.
Org Positions: Original Budget County For R&- Proposed
Request Recommends Consideration Total for
Budt!et
5111 EH Specialist I 0 I $40,550
(FTE) (FTE)
5131 Information Systems I 0 I $44,000
SUDDort SDecialist (FTE) (FTE)
5167 Administrative I 0 1 $32,265
SUDDort Technician (FTE) (FTE)
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Justification - Environmental Health Specialist:
This is the Environmental Health Specialist position that was approved for one year, FY2001.
We received funding through Water Sampling Revenue and were advised the position would be
approved for only one year and would need to be requested in the budget for FY 2002 for
consideration as a permanent full-time position.
The Food, Lodging, and Institution Program, mandated by North Carolina General Statutes
Chapter 130A Article 8, had a substantial increase in workload due to the expanding local
economy and number of new businesses. This increase is the number of mandatory establishment
evaluations/inspections from FY 95 to FY 99. In FY 95 there were 3,352 inspections as
compared to FY99 with 4,076 inspections. This represents a 22% increase. Prior to the
evaluation/inspection process, many hours are required to advise clients on food safety and health
standards (interpretation oflaws and rules). These include activities such as review of blue prints
and equipment specifications, examination of menus/procedures/recipes, hazard analysis critical
control point (HACCP) issues, as well as, multiple field assessments during construction or
renovation.
If approved, this position will benefit the county in the following ways: Businesses under
regulation by the Health Department are major contributors to the local economy Illness in the
community attributable to food or water transmission would very negatively impact far more than
the business implicated in the outbreak. Repercussions from a Hepatitis A exposure recently in a
North Carolina restaurant made national headlines. Medical costs, lost wages and loss of
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consumer confidence are also consequences of such an event. High-risk pathogens such as E.
coli 0157:H7 can result in death or permanent disablement for healthy individuals and clearly
pose a serious threat to immuno-compromised individuals such as children and senior citizens.
Increased food safety education in the foodservice industry will reduce the potential for exposure
of the public to foodborne illnesses.
If approved this position will have the following impact: Would allow more manageable
distribution of workload and more timely provision of services. Improved outcomes: Would
allow staff to opt for voluntary compliance through education of the client (usually a more time
consuming avenue) as opposed to rigorous and strict enforcement methodology; greater focus on
educating the client should mean a reduction in repeat violations and also should reduce time
spent conducting repeat evaluations/inspections (operator may request a Ore-inspection" when the
initial evaluation/ inspection documents a low score or high level of noncompliance).
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If not implemented, the impact will be as follows: Health status of the community will be
compromised due to imminent foodbome or waterborne disease outbreak.
JlLUification - Information Systems Support Specialist:
This position was requested in the FY 2001 budget request and approved by the Board of Health;
however it did not receive final approval. We have filled a temporary position for the current
fiscal year to meet these demands.
This new position will provide support to all department PC users in the areas of hardware and
software, to include installation, networking, training and maintenance. Currently, the Business
Officer is providing this in-house support (we also have a systems support specialist position that
we are in the process of filling which provides support for most of our QS in-house patient care
management computer software and AS400 system). The Business Officer has basically taken on
all responsibilities that the County Information Technology Department previously provided for
the health department and this is requiring a tremendous amount oftime (typically well in excess
of 40 hours per week).
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We have moved into a department-wide PC based environment (which was supported and
recommended by the County Information Technology Office). A department - wide PC based
environment (supporting approximately 200 staff members with in excess of 160 PCs, laptops,
terminals, printers and other peripherals) requires additional time for troubleshooting, daily
maintenance, training and support for our end users. Furthermore, we provide support for five
outlying sites. This position will eventually assume the responsibility for maintaining the
Chameleon software for Animal Control. Comparatively, New Hanover County Social Services
has 288 employees of which four are full time positions solely dedicated to information
technology support, these are in addition to their Business Officer.
This position will require an individual with a bachelor's degree in computer science or a related
field and one year of experience installing and troubleshooting computer problems; or, an
equivalent combination of education and experience sufficient to successfully perform the
essential duties of the job.
If approved, this position will benefit the department and the county in the following ways: This
will reduce our demands on the County IT department allowing their staff to focus on other
issues. Additionally, it will provide the necessary hardware and software support for the health _
department staff; as well as provide the Business Officer and current systems support specialist ,.,
with some much needed assistance.
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Furthermore, this position will allow the Business Officer the necessary time to focus on the
financial management (revenues, expenditures, grants, reporting, etc.) of the health department.
It would allow for more oversight of solving computer issues. It will provide backup for the
current systems support specialist and assist with eliminating unnecessary downtime for our end-
users.
If this position is not approved, we will experience an even greater amount of prolonged
timeframes for correction of problems that will result in downtime for end users, and potentially
affecting revenues for the department.
Justification - Administrative Support Technician (Spani'lb Interpreter):
This position was requested in FY200l budget request, approved by the Board of Health, but did
not receive final approval.
Agencies receiving federal money, especially Medicaid, are mandated to provide interpreter
services. The directive is based on the Civil Rights Act. The Hispanic population in New
Hanover County bas grown tremendously and many of these residents are non-English speaking.
Over the past year, our contracted interpreter has assisted several hundred clients in clinics and on
home visits. Our current actual costs using a contract service provider have been $45,760/year.
The cost of hiring a county employee as an interpreter would be $33,300Iyear, resulting in a
savings of$12,000Iyear to the county. We have lost a bilingual staff member who was seeing
many of the Family Planning patients.
In addition to interpreter services, the new position would also translate written materials such as
forms, letters, instructions, and educational materials. It is imperative that we be able to
communicate with our Hispanic clients to ensure positive health outcomes. The position would
also provide outreach to market our services or follow-up with clients of the Hispanic
community.
We are now contracting for 40 hours of service per week from Amigos Translating and
Interpreting Services that we have contracted with since 1011/98. This service costs $22/bour. It
would be more cost efficient to have the interpreter on staff. Also, translations of written material
cost $.15 per word. I f the interpreter/translator is a county employee, it will benefit our programs
with expansion of services. It would also save nurse and social worker time in doing follow-up.
An outreach worker could follow-up on missed appointments and nurse or social worker plans.
The interpreter would be trained to do appointment scheduling and register and complete clerical
duties for non-English speaking Hispanics.
A full time English speaking Hispanic interpreter/outreach worker would provide better
communication services (available more often), translation of written materials when needed,
outreach to find clients and offer services or do follow-up, and teach staff the cultural differences
which affect how we serve this population.
We have already tried to provide interpreting services in other ways, which did not meet the need.
Ex.: volunteers who were not available when needed; AT&T Language Line which is not client
friendly; use of bilingual staff from specific programs who do not have the time to serve all
programs and get their own jobs done.
If this position is not implemented, cost to the county will be $45,7601year instead of
$33,300/year. We will be required to continue to contract with an outside interpreter in order to
comply with the Civil Rights Act. This will be very costly, as the need for services bas increased
since contract inception (September, 1998). Prior to our current contractual arrangement,
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significant staff time was utilized to seek out methods to communicate with non-English speaking
clients, presenting difficulty in serving our population and using staff resources that would
otherwise be available for assigned duties.
q~~
Wilson O'Keny DDS
Chairman, New Hanover County Board ofHeaIth
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STRATEGIC PLANNING PRIORITIES
May 29, 2001 Update
Access to health care
(Issues #7, 11 & 5)
-+ On Tuesday, May 1, 2001, members of the Wilmington TriCounty Dental Society were
presented information concerning establishing a volunteer dental clinic on Saturdays at the New
Hanover Community Health Center 18 privately practicing dentists indicated an interest to
participate in this program. An "open house" will be held for prospective dentists and auxiliaries
at lunchtime on a weekday in September
-+ Special outreach with Coastal Care van at inner city location. COD services, screenings and
prevention education provided.
-+ Wilmington Rotary Club purchasing wheel chairs for disaster shelters
-+
II.
I.
Preventive services & lifestyle-related risks
(Issues #12 & 15)
-+ Fifty-five food vendors were inspected during the annual Azalea Festival events of April 2-8,
2001 Applications from vendors are generally received two-weeks prior to the event so that
staff can evaluate the proposed operation. Staff makes a concerted effort to identify problems
or concerns and give participants an opportunity to address these in advance of the festival. It is
smoother sailing for everyone involved when we are successful in this exchange of information.
The review process can mean tracking down vendors who are on the road traveling and
operating through other states. It can also mean contacting restaurants and health departments
in other states to verify safe sources of food. This huge investment of time better assures
protection of the public health as it usually also assures more compliant, cooperative vendors.
-+ BCCCP' Women's Health Care Division received an additional $4,000 to meet the needs of
women for mammograms and diagnostic follow-up.
-+ In celebration of Public Health Month, the New Hanover County Dental Program sponsored
the "Guard Your Smile" Mouthguard Program. The goal of the program is to increase
awareness and use of mouthguards as an important part of injury prevention for children and
young adults in New Hanover County On April 21 , 60 young soccer participants were
professionally fitted for mouthguards at no charge. The program was held at the YMCA on
Market Street in Wilmington. Additional sponsors of "Guard Your Smile" included the North
Carolina Oral Health Section, the YMCA, and Cape Fear Community College.
-+ ACS printed an article titled, "Protect Your Pet from the Rabies Threat," in response to the
positive fox found at Carolina Beach on April 23, 2001 This appeared in the Critter Magazine
publication along with photos of animals available for adoption.
-+ "Salute to Teens" Health Fair for Public Health Month at NHCHD on April28, 2001
-+ ACS participated in the Child Safety Day at Trask Coliseum to train children about proper
methods of approaching dog and general information on pet care.
-+ COD submitted list of public-health related videos available to be used for NHC-TV
-+ The Women's Health Care Division was the recipient of donated gift/education packets as a
result of the generosity of the Junior Sorosis.
-+ May was World Asthma Month. The New Hanover County Asthma Task Force planned and
implemented several activities for community awareness. The Healthy Homes Nurse and
school nurses assisted families with completing applications for their children to attend the week
long Asthma Camp in Rockfish. New Hanover County has 13 local children accepted to attend
in July A local day camp was held 5/19, with 25 children in attendance. NHRMC staff
performed 55 Asthma screenings on May 3rd Funds were raised to send children to Asthma
camp.
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-+ Immunization Project: With Rotary, the Nesbitt Courts Immunization Project started May 19
to promote childhood and adult immunizations. Staff is administering immunizations on site.
Will end June 16.
-+
III. Communication, education & marketing (promotion)
(Issue #1 & 4 in part)
-+ Family Focus Group: Held on April 27 with parents of special needs children. Information
discussed will be used to plan an educational forum in September
-+ World Asthma Day' Pizza sale (to raise money to send children to Asthma Camp) at
NHRMC on Thursday, May 3 from 11 am - 2 pm. Free asthma screenings at NHRMC and Cape
Fear on May 3, 9 am - 2 pm. Asthma Month Activities: Asthma Task Force raised $350 (Pizza
Sale). Additional funds were raised to send children to Asthma Camp; recruiting children to
attend until May 19. "Cut Asthma" through hair salons scheduled on May 12. Media releases
distributed last week.
-+ Child Health Presentation: "Case Management/Home Visiting Services for Pregnant
Women and Parents of Young Children" presented to the Children's Clinic Staff on April 26.
-+ Salute to Teens: More than 75 teens attended on Saturday, April 28.
-+ Adopt-A-Thon: Scheduled for May 5 (8 am - 4 pm) and May 6 (1 - 5 pm) at Animal Control
Services, 220 Division Drive. 7 animals were adopted
-+ Critter Magazine: The Current issue highlights ACS: Article on "Protect Your Pet from the
Rabies Threat" and animals for adoption photos.
-+ Vendor Training: Annual W1C Vendor training on May 14 & 18. 36 food stores and 12
pharmacies are included.
-+ W1C Program staff has given additional training to 4 stores that received compliance checks
by the State.
-+ Hurricane Expo: Scheduled for June 2 at Trask Coliseum.
-+ Annual Report: No timeline yet, but will start the process earlier this year First draft
submissions will be due in Late July Volunteers needed for editing.
-+ Adolescent Pregnancy Prevention Month: May is Adolescent Pregnancy Prevention Month.
Numerous events are taking place. See the display in the hallway
-+ Vital Records Workshop: Death Certificate Registration training will be held on May 17 NC
DHHS Vital Records Section will present to funeral directors, Register of Deeds, and Deputy
Registrars (NHCHD Staff).
-+ Tri-County Medical Society. Requested NHCHD to submit articles for their quarterly
newsletter
-+ NHCTV' County will be looking for programming possibilities. Staff encouraged making
videos available to Mark Boyer NHCTV projected to be operational by mid-June.
-+ Adolescent Pregnancy Prevention Month: May is Adolescent Pregnancy Prevention Month.
Numerous events are taking place throughout our community ''What Makes Teens Tick" will be
presented by Kwain Bryant on May 17 from 10am -12 noon in our Auditorium.
-+ Hurricane Expo: Scheduled for June 2, 9am - 7 pm at Trask Coliseum. Volunteers needed.
Please contact Elisabeth Constandy (6658).
-+ Diabetes Awareness Stamp: US Postal Service selling awareness stamps with a helpful
web site.
-+ ACS has reached the one-year mark for continual biweekly live broadcasts on WAA V radio.
(Every other Thursday morning at about 6:40 am.)
-+ Vivian Mears, HIV Prevention Coordinator presented HIV Issues and Public Health Laws
and Rules at "Sex Crimes Investigation Training" for law enforcement, rape crisislintervention
counselors, and district attorneys on 4-18-01
-+ ACS staff met with Mark Boyer concerning the web site. Staff will set up sections to include
information on adoptions, licensing, and most frequently asked ordinance questions.
-+ As part of a collaborative effort with City Of Wilmington officials, staff has developed new
educational information to assist residents with rodent control. During the proces s, staff
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consulted the Cooperative Extension Service and state Division Of Environmental Health Pest
Management Section.
.. Web Site: Brent Fulton, Wake Forrest Medical Student, will be assisting the Health Director
through June 15 with updating the contents of our Web Site. Division Directors have been
requested to prioritize content needs, including links, by this afternoon. The Health Director will
meet with Brent tomorrow and they will prepare a map of our site. Visit our current site today
and again in mid-June to see the improvements. Our site is located at: http://www.co.new-
hanover.nc.uslHL TH/HL THmain.htm
..
IV. Facility utilization & Information technology
(Issues #6 & 4 in part)
.. NHCHD Web Site: The Health Director met with a consultant on Friday, May 4. A proposal
to improve out web site should be received by mid-May
.. Bilingual Signs: NHCHD ready to order signs as the result of Facilities Task Force research
and recommendations.
.. Information Technology' Cindy Hewett recently attended the NHC IT Coordinators Group
meeting. Upcoming changes will be highlighted in an email message from her
.. Alarm System: May have water damage. Switched over to battery backup.
.. The Facilities Task Force met on April 2, 2001 The April 2 Agenda and the March 12, 2001
minutes distributed. Betty Creech handed out a listing for members to review for Bilingual Signs.
The FTF reviewed each sign. Some changes were suggested and Betty will write in the Spanish
already provided for some signs and then will have the interpreter review for final draft before
giving this listing to Kim Roane to process. Betty will ask Kim to get a cost quote from vendors
and submit to Lynda Smith prior to ordering. The FTF also met on May 7 (Attachment 13).
.. Keys: Process to be completed this week. With the exception of some desks, locks/keys
have been updated.
.. Bilingual Signs: Have been ordered.
.. Computer Room: Purchase order for A1C unit in Computer Room has been submitted.
Wiring is being reviewed for possible changes.
.. Bugs: Problems should be reported to Property Management through Regina Abate. A sign
appears in my kitchen at home: "This kitchen is self-cleaning; clean up after your self." Please
apply this principle to your workstation and meeting areas. Bugs: Sprayed for roaches and other
bugs on May 25.
.. ACS Staff discussed needed steps to implement building of a Spay/Neuter facility
.. Computer System Acquisitions: County Manager reminded Department Heads to contact
the Information Technology Director with any computer need prior to jointly proceeding. This
includes both new computer systems and enhancements to existing systems.
.. LotusNotes: Rollout of Version 5 will begin in July for NHCHD Staff.
.. Generator Transfer Switch: Property Management and the Budget Department approved
the installation of a Manual Transfer Switch at Animal Control Services.
.. Electronic Scheduling: Calendars will be set up through Lotus Notes for the Dr Thomas
Fanning Wood Conference Room, Family Planning Conference Room, Environmental Health
Conference Room, and the Carl Durham Auditorium. Health Department Staff will be able to
view calendars for these rooms. More details on scheduling to come.
..
V. Water quality, storm water management & drainage; & Air
quality (Issues #3 & 8)
..
VI. Emerging health risks
(Issue #13)
.. Seventeen draft media releases have bee prepared for the 2001 Hurricane Season.
.. IC3 Disaster Exercise: 9 NHCHD Staff members from 5 Divisions are participatinq todav in
3
IC3 Drill in preparation for the 2001 Hurricane Season.
~ Lab Director and Lab Supervisor attended educational session at the Eastern District North
Carolina Public Health Association Annual Educational Conference on West Nile Virus. The
session covered the State's plan for response to an outbreak of West Nile Virus in NC and also
covered what the county is expected to do.
~ TB Program: In April 21 people started medications - lots of suspects and preventive
medications. Suspects are treated as cases pending culture reports.
~ West Nile Virus: TV program featuring Dr Nolan Newton on local cable May 22.
~
VII. Population growth & diversity
(Issue #2)
~ Bilingual Signs: Have been ordered.
~ ACS staff met to discuss pertinent documents for Spanish translation. A completed list of
frequently used phrases for minimal communication has been gathered for staff to utilize.
~ HOLA's Educational Forum on housing issues for the Hispanic Community is scheduled for
June 5, 12-2pm, at the Canterbury Annex.
~
VIII. Discontinued services picked up by Health Department
(Issue #9)
~ Wrightsville Beach PD will take on the responsibilities of animal control at Wrightsville
Beach. ACS had been receiving complaints requesting our response in their area, but only
emergency after-hour calls are handled currently No change is anticipated unless Wrightsville
Beach adopts New Hanover County's ordinance.
~
IX. Staff Development & continuing education
(Issue # 14)
~ Epi Lunch and Learn: Successful first session on outbreak investigations. Next session
scheduled for May 24, 12 -1 pm.
~ Women's Health Care Division Retreat: Will be held off site on May 2.
~ Training Surveys: Surveys should be completed and mailed to UNC-SPH Center for Public
Health Preparedness by May 18.
~ A recently released book, Doctor to the Front: Recollections of Confederate Surgeon
Thomas Fanning Wood 1861 - 1865, was purchased for our Library
~ EDNCPHA. Annual meeting held on May 2-4. Susan O'Brien and Diane Vosnock elected
co-chairs of the Laboratory Section. Susan will continue as the editor of the EDNCPHA
Newsletter West Nile Virus, changes in newborn screening technology, thin prep testing, new
Biosafety Section of State Lab were highlighted.
~ The Women's Health Care Division held a retreat using the theme of the #1 Bestseller, Who
Moved Mv Cheese? By Spencer Johnson, MD. Throughout the day we discussed change and
how to adapt to change. We had two speakers to provide information on change and resolving
conflict, respectively We had exercise and dance sessions in the afternoon. We held small
group discussions and worked on specific work-related tasks where we could identify change
that had already occurred and anticipate changes that may occur or that needed to occur in
order to improve our services.
~ Nursing Supervisors, Ellen Harrison and Evelyn Bowden have completed the Office of
Public Health Nursing and UNCCH course for supervisors: Management and Supervision for
Public Health Supervisor
~ Training Surveys: Surveys should be completed and mailed to UNC-SPH Center for Public
Health Preparedness by May 18. Place completed surveys in State Courier box in the Mail
Room.
~ HIV Counseling and Testing: Vivian Mears and Courtney Wilson being trained as staff
trainers to implement new client-based HIV Counseling Model.
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-+ OSHA Workshop: Susan O'Brien attended an OSHA Workshop last week. The workshop
was on new changes in the Blood Borne Pathogen Standard and the new TB Standard.
-+ TAP Retreat: May 11-13. 30 peer educators have completed training to date.
-+ Plans were made to facilitate the remainder of ACS staff through the Animal Care Training
tape series.
-+ Daisy Brown and Nancy Ryan completed their supervisory training tract offered by Human
Resources.
-+ ACS Director continued with weekly ordinance review for staff clarification.
-+ Two NHCHD Teams (3'd year) were accepted to the Management Academy of Public
Health.
-+ Student Volunteer' Wake Forrest Medical Student wants to work with NHCHD until June 15.
Lynda Smith requested ideas for possible projects. Other students are here to provide
community service.
-+ Medical Records: On July 2, Eunice Inman, Regional Consultant, will provide information on
auditing medical records to NHCHD staff.
-+ as Users Group: Will meet on August 9
-+ Epi Lunch and Learn: Next session on May 24
-+ Lead Poisoning: Lunch and Learn scheduled today, May 29 for staff working with children
under 6. The topic is lead screening and follow-up protocol.
-+
X. Evaluation of services
(Issue #16)
-+ NHCHD Fees: NHC has requested a review of current NHCHD fees. Health Department is
reviewing possible changes, including Animal Control Services.
-+ Budget Update: Management Team discussed the County Manage~s letters dated April 27
These letters were distributed to all NHCHD Staff.
-+ Travel: NHC Management Team notes dated April 24 stated, "The following issue has been
discussed at several prior MT meetings: Allow travel to continuing education classes at
employee's personal expense, but 'on the clock' Allen's position is that the county pays for the
cost of travel, or the employee does not attend. There are liability issues involved. Andre' will
check with his counterparts to see if any other counties are allowing travel at employees
expense. However the following travel statement has been issued: No travel will be permitted,
except for required continuing education to maintain certification or licensure, or specific travel
deemed necessllry by the County Manager" This procedure is effective immediately The
Health Director has requested clarification on grant-funded travel and prior-approved travel.
-+ Overtime: NHCHD has been instructed to eliminate all non-essential overtime. The Human
Resources Director must approve overtime requests. All requests will be approved by the Health
Director prior to submission to Human Resources. This procedure is effective immediately
-+ Diabetic Teaching: Maternal health is investigating reimbursement for diabetic teaching
services for prenatal patients. Inventory Report: submitted to NHC Finance Department.
-+ Fee Changes: to BCC on May 21 Cindy Hewett prepared effects of fees increases on
revenue for NHC Budget Department. Medicaid rates for E & M codes will be changing, effective
June 1 The multidisciplinary committee will address these changes. Animal Control Services
and Environmental Health are focusing on possible increases.
-+ Inventory Report: submitted to NHC Finance Department. Fixed asset numbers will be
assigned by Finance.
-+ Policies: Policy Team will review and revise our Smoking Policy based on County
Manager's memorandum distributed last week. Management Team discussed attendance as an
essential job function and absence as a performance issue.
-+ NHCHD Emergency Manual: In process of updating. Updates due by May 22.
-+ Staff held some discussion regarding the decrease in overtime pay for next fiscal year, and
the impact this will have on ACS response to emergency calls
-+ ACS staff reviewed the fee schedule and has made an increase proposal to be considered
by the Board of Health. This is in response to a request from the county' to help offset the
5
.
budget constraints of the next fiscal year
-+ Communicable Disease Division Semi-annual customer satisfaction survey conducted.
-+ ACS reviewed 10 codes to match these with other law enforcement and develop a means of
decreasing radio verbiage. Listings that are pertinent to ACS will be worked into the new
document.
-+ Staff recently met with Dexter Hayes, Planning Director and Sam Burgess, Planner to
discuss the subdivision review process. The goal was to address procedures that need
updating to conform to changes in state laws and rules governing wastewater systems as well
as comply with New Hanover County's subdivision regulations.
-+ AEIOU Team met on May 21 Community Health Assessment, Access to Care, and Public
Policies/Health Priorities teams reported on activities. AEIOU Team made the recommendation
to the Management Team that the Public Policies/Health Priorities Team Goals be approved.
Three goals were approved: (1) provide strategic planning/health priorities information to staff.
(2) Provide strategic planning/health priorities information to stakeholders. (3) Recommend an
ongoing process to set priorities for addressing health problems based on the results of the
community health assessment.
-+ Budget Update: Management Team discussed the County Manager's update dated May
18. Allen O'Neal presented the FY2001-02 Recommended Budget to the Board of County
Commissioners on May 21 The Health Department's recommended budget is being reviewed
by Administration. It appears to be very close to the Current Status Budget received in April.
-+ Budget Update: The FY2001-02 Recommended Budget will be by NHCBH Executive
Committee on May 29. The Executive Committee will consider an appeal to the Board of
County Commissioners on June 4. At the State level, the State Budget was passed out of State
Appropriations Committee on May 28. We expect the House will get the Appropriations Bill by
the end of this week. The State Budget is moving on a fast track now
-+ Foundation: Health Director is meeting with County Attomey on May 29 to discuss the
possibility of establishing a public health foundation in New Hanover County
-+
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~ safety information III research Ilil publications !Ill news IJi! about us ll1l websites I\!!l Pedestrian a I!icyde Inf.
CHAPEL HILL - Each year, an estimated 284,000 distracted drivers are involved
in serious crashes, according to a new study by the University of North Carolina
Highway Safety Research Center.
"We found that 15 percent of drivers in the study were not paying attention and
just over half of these (8.3 percent) were distracted by something inside or outside
the vehicle," said Dr Jane Stutts, manager of epidemiological studies at the UNC
center and author of the study
When drivers with unknown attention status were removed from the data, the
percentage of distracted drivers rose to 12.9 percent.
Stutts will testify about the study, funded by the AAA Foundation for Traffic
Safety, at a congressional hearing in Washington, D.C., on Wednesday (May 9).
She will testify before the House Transportation and Infrastructure Committee's
Subcommittee on Highways and Transit at 10 a.m.
The study found that drivers were most often distracted by something outside
their vehicle (29.4 percent) followed by adjusting a radio or CD player (11 4
percent). Other distractions included talking with other occupants (10.9 percent),
adjusting vehicle or climate controls (2.8 percent), eating or drinking (1.7 percent),
cell-phone use (1.5 percent) and smoking (0.9 percent).
"Different age groups appear to be distracted by different things," Stutts said.
Drivers under age 20 were especially likely to be distracted by tuning the radio
or changing CDs, while young adults (ages 20-29) seemed to be more distracted
by other passengers. Drivers over age 65 were more distracted by objects or
events happening outside the vehicle.
Most of the distracted drivers were male (63 percent), in part because as a
group, males drive more than females and are more likely to be involved in serious
crashes.
Researchers used the National Highway Traffic Safety Administration's
Crashworthiness Data System for the study The CDS examines a sample of
approximately 5,000 crashes a year in which at least one vehicle was damaged
enough to require towing. Federal investigators collect detailed information about
each crash, including examination of the vehicle and crash scene and interviews
with drivers and witnesses. The UNC center's study used data from 1995 through
1999 and included 32,303 vehicles.
The UNC Highway Safety Research Center conducts interdisciplinary research
aimed at reducing deaths, injuries and related societal costs of roadway crashes in
North Carolina and the nation. The center's research addresses crashes involving
motor vehicles, bicyclists and pedestrians and takes into account the various
human, vehicular, roadway and environmental components of these risks.
The AAA Foundation for Traffic Safety is an independent, publicly funded
charitable research and educational organization founded by the American
http://www.hsrc.unc.edu/pressre1ease/distraction.htm
I"r~s.sB.eJ.e.<!s~
Q.l!!lLl!..~J!.t~esults,
Methodology, and
Data. Limitations
QQW!lJ9<!!t;!b!~
I"h,o.19S.1!dm<!glts
Congressional
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home > news
Distracted drivers pose safety hazard,
according to new UNC Highway Safety
Research Center study
Press Release - for immed iate use
May 8, 2001
5/29/01
:stuay on ulsuaclea unymg
.l.U5""4.. V.l.4..
Automobile Association in 1947 The AAA Foundation's mission is to prevent traffic
deaths and injuries by conducting research into their causes and by educating the
public about strategies to prevent crashes.
-30-
UNC Highway Safety Research Center contact: Emily Smith, (919) 962-7803
UNC News Services contact: Deb Saine, (919) 962-8415
AAA Foundation for Traffic Safety contact: Stephanie Fau', (202) 638-5944
(Ext.4)
b.om~ safetvJrrtormation research publications news ~bout us websites pbic
sl1t;!l!t~J2
The University of North Carolina Highway Safety Research Center: CB# 3430, Chapel Hill,
NC 27599
Phone: 919-962-2202 or (in NC) 800~72-4527 Fax: 919-962~710
!3'mail. webmaster
http://www.hsrc.unc.edu/pressreleaseldistraction.htm
5/29/01
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NEW HANOVER COUNTY
OFFICE OF THE COUNTY MANAGER
320 CHESTNUT STREET, ROOM 502
WILMINGTON, NORTH CAROLINA 28401-4058
TELEPHONE (910) 341-7184
FAX (910) 341-4027
ALLEN O'NEAL
County Manager
ANDREW J. ATKINSON CPA
Deputy County Manager
PATRICIA A. MELVIN
Assistant County Manager
May 18,2001
DAVID F. WEAVER
Assistant County Manager
414 Chestnut Street, Room 10 1
Telephone (910) 341-7139
Fax (910)341-4035
Dear Fellow Employee:
Today I sent my Recommended Budget for fiscal year 2001/02 to the Board of
Commissioners. On Monday I will make a formal presentation to the Board. I wanted
to share with you some of the details and concerns I expressed in the recommendation.
I have proposed increasing the county property tax rate by 8 cents per $100 valuation.
While this may sound like a rather substantial amount, the revenue generated by the
increase will neither be enough to fund all that has been requested, nor all that the
citizens want in services.
e
However, the proposed 8 cents increase will maintain our highly productive full-time
workforce at its present level. I have not recommended the elimination of any
departments or services, although some temporary positions will disappear on or before
July 1. Regretfully, I have also recommended that all employees be required to take
two days of unpaid leave in the coming budget year. Three full-time positions (one at
Cape Fear Museum, two in the Health Department) are also recommended for
elimination. On the other hand, I have also recommended that the County cover the
increase in the cost of our health and dental insurance plans.
The recommended tax rate of 69 cents per $100 will fund our debt repayment
obligations, a full year's implementation of the pay and classification plan, and an
increase in medical and dental insurance. Only six new positions are recommended to
maintain Veterans Park. Most of the tax increase will go to help operate our public
schools and to pay outstanding debt.
The next step in this process is for the Board of Commissioners to digest all of the
information contained in the recommendation before holding a Public Hearing on the
proposed budget on June 4. Please remember that this is only a budget
recommendation. The Board of Commissioners will determine the final version of the
budget upon adoption on June 18.
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ACSAdvisorv Committee
Meeting of May 15, 2001
Present:
Donna Booth-Neal, Dr Melody Speck, Timmi Evans, John Boozer, Jeannie Leonard
Absent:
Jewell Ann Diehn, Sylvia Hall. Joyce Bradley, Cheryl Fiste (all called wi prior
commitment) Hunter position open
Three minutes allowed for public to speak regarding any agenda items. (None present.)
New Business
I) Project Impact - ACS will have a booth @ this event@ Trask Coliseum on June 2, 2001,
from 9am until 7pm. Volunteer schedule pulled together for Advisory Committee.
2) Hunter position still open on the board. Please ask around to people you know
3) ACS fee increases - Board reviewed the presented plan. Members expressed some concern
over dollar amounts of some increases. Some felt that the intact licensing should be
higher and the kennel fees lower. Came to a consensus by acceptance of the presented
fees, with one change in the 11-20 kennel license fee from $80 to $70.
Dodates
1) Generator & transfer switch - tabled concern due to county budget constraints.
2) IC3 training on Tuesday, May 8, 2001 Donna will attend.
3) SIN facility @ ACS - Jeannie and Jean are working on getting an architect to view site.
4) Rabies research @ Pleasure Island - Hope to get Lee Hunter to come to the group to do talk.
S) Free rabies clinic @ ACS April 2 I, 2001 Over 170 pets vaccinated = a great success.
6) Pet Adoptathon @ ACS May S-6, 2001 Decreased public participation probably due to road
construction. Seven animals adopted.
7) Volunteers @ACS- Jewell Ann attended orientation and tried to volunteer. Need to have set
list of job duties when shelter staff is not present.
8) Homeless people and their pets - Jewell Ann has a call in, but no response yet.
9) Pet information cards - would like to canvass the county with these.
10) Education for pet owners - Sylvia has a letter of request to the schools (Jerry Cribb); to do in
the fall.
I I) Hurricane shelters - Sylvia is calling area veterinarians to get a list of their procedures during
an emergency situation.
12) Jean working on county response plan for emergency situations. (CART)
jpm 051501advcommin.wpd
It
May 2001
New Hanover County Health Department
Influenza Activity
in U.S. Season
2000-01
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Despite real con-
cerns about non-
availability of influenza
vaccine in the early fall of
2000 and subsequent im-
plications for an increase
in the number of influenza
cases, the Centers for
Disease Control's (CDC)
report in the March 23 is-
sue of Morbidity and Mor-
tality Weekly Report
(MMWR) reported other-
wise. According to their
surveillance, influenza
activity this past winter
was moderate and
lower than the previous
three seasons.
Influenza activity in-
creased in December and
January and peaked in
late January and early
February The predomi-
nant strain this influenza
season was influenza A
(H1N1), although the pro-
portion of influenza B has
increased.
Polio in the
Dominican Republic
And Haiti
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According to the
CDC, 12 cases of
poliomyelitis have oc-
curred in the Dominican
Republic and Haiti from
July to November 2000
with the last onset of pa-
ralysis January 2, 2001
All cases were reported in
either inadequately vacci-
nated persons or unvacci-
nated persons. Health
care providers should
alert travelers to these ar-
eas of the risk of acquir-
ing polio for inadequately
vaccinated persons.
State Lab
Will Test For
West Nile Virus
West Nile Virus
0NNV) was first
isolated in the West Nile
region of Uganda in 1937.
It is found in humans,
birds and other verte-
brates, but until 1999 had
not been documented in
the Western Hemisphere.
In August and September
of 1999 two outbreaks 0 c-
curred simultaneously in
New York City and the
surrounding areas, one
involving birds, the other
involving humans.
Range
During the winter of 1999-
2000 it was documented
that the virus survived in
mosquitoes that overwin-
tered in the Northeast.
Mosquito surveillance
Betsy Summey, FNP, 343-6531
and control, bird and
other animal surveillance,
and human disease sur-
veillance were initiated in
the eastern avian fly
zone; by the end ofthe
2000 transmission sea-
son, WNV activity had
been identified in a 12-
state area from New
Hampshire and Vermont
to North Carolina.
Twenty-one human cases
and two deaths were
documented in the entire
U.S. - all occurring in the
northeastern states.
All forms of arboviral
encephalitis - not just
WNV - are reportable
in North Carolina. The
NC Division of Public
Health urges the medi-
cal community to
promptly report sus-
pected cases of en-
cephalitis to local
health departments.
Test Procedures
Laboratory testing for
WNV and other arboviral
infections (eastern en-
cephalitis, western en-
cephalitis, Saint Louis
encephalitis, and La
Crosse virus encephali-
tis) in humans is avail-
able at the State Labora-
tory of Public Health
(SLPH). Testing of
(Continued)
acute and convalescent sera
for antibody levels is avail-
able for these viruses, in-
cluding the ability to detect
IgM antibodies. An acute
serum specimen should be
submitted when drawn
rather than being held for
submission pending col-
lection of a convalescent
serum two to three weeks
after illness onset.
Cerebrospinal fluid speci-
mens can be submitted for
both virus detection and anti-
body level determination.
Central nervous system
(CNS) tissue specimens
(cerebral cortex, medulla,
cerebellum, and hippocam-
pus) for virus isolation
should be shipped refriger-
ated but not frozen. Call the
Vlrology/Serology Unit of
the SLPH at (919) 733-7544
prior to submitting any
specimens.
Since WNV infection can
be manifest as aseptic
meningitis as well as e n-
cephalltls, all clinical
specimens sent to the
SLPH for any suspected
viral CNS infection will be
tested for the panel of ar-
boviral agents listed
above.
Think TS!
Twelve health care work-
ers in a hospital setting
in Tennessee were infected
from a patient with undiag-
nosed extrapulmonary tuber-
culosis. The patient was ad-
mitted for drainage of a
prostatic abscess and or-
chiectomy He died after 27
days of hospitalization. Dis-
seminated tuberculosis was
diagnosed on autopsy
Transmission
Although there were minute
amounts of TB in the lungs,
transmission was thought to
have occurred through ma-
nipulation of the genitouri-
nary wounds and aerosoliza-
tion of the TB bacilli. Evi-
dence supporting this in-
cluded a normal chest X-ray
on admission, and no skin
test conversions among the
health care workers who at-
tended the patient only be-
fore surgery Irrigation or
packing of the surgical site
was the only independent
risk factor associated with
conversion.
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Recommendations
Genitourinary TB is the sec-
ond most common site of ex-
trapulmonary TB after ly m-
phadenitis, and is often u n-
recognized. As a result of
the case, the authors rec-
ommended airborne pre-
cautions for patients with
open wounds of the geni-
tourinary tract in whom
bacterial cultures are
negative until a diagnosis
of TB is excluded.
It
Communicable Disease Statistics
New Hanover County
July 1, 2000 - April 30, 2001
AIDS........................... 19
Campylobacter ........... 7
Chlamydia ...............342
E. Coli 0157:H7 ...........1
Gonorrhea ...............299
Hepatitis A.................. 1
Hepatitis B (acute)...... 7
Hepatitis B (carrier).. 14
Hepatitis C (acute)...... 0
HIV Infection ....................21
Lyme Disease ....................2
Pertussis ............................0
Rky. Mt. Spotted Fever......1
Salmonellosis ..................50
Shigellosis .....................104
Strep, Group A Invasive....O
Syphilis ............................49
Tuberculosis ....................10
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North Carolina Department of Health and Human Services
GIS Project
May 29, 2001
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Scope of Work
The primary goal of this project is to establish GIS capabilities within local health
departments. CGIA and Duke University will work cooperatively with Albemarle
Regional Health Services. Craven County. Pamlico County. New Hanover County, and
Wayne County to conduct requirements analysis. recommend procurements, develop GIS
applications, implement GIS, and lend technical support to County Health Department
personnel.
Each county will receive the following:
a. a custom GIS database, tools and application(s)
b. GIS training and technical support
c. research support from specialists in selected research areas
d. funding to procure equipment. including hardware and software. as
recommended by OEEB
In return, each county agrees to:
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a. participate in a structured process for establishing GIS, including training and
discussions with other County Health Departments, and OEEB
b. use GIS to analyze one county or regional issue, and integrate GIS into daily
activities, to extent possible
c. cooperate with CGIA and Duke University in developing GIS applications.
and in developing data, as required
d. write a project summary, including benefits of the project, and
recommendations for improvements
e. procure equipment
Schedule
May 30-June 6
Orientations
June 20-22
Training at Duke University
Preliminary recommendations
July-August
Project development
Equipment procurement
Center for Geographic Information & Analysis (CGIA)
OccupaIional & Environmental Epidemiology Branch (OEEB)
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NORTH CAROLINA
ASSOCIATION of LOCAL HEALTH DIRECTORS
All Affililltl! ofthl! Nol1h Carolilla Associlllioll of COUllty CommJssiolll!n
June 5, 200 I
The Honorable Members of the House Appropriations Committee
North Carolina General Assembly
Raleigh, North Carolina 27601-1096
Dear Representative:
The North Carolina Association of Local Health Directors recognize the tedious job ahead of you in preparing a budget that
meets the needs of the citizens of North Carolina against the declining revenues that are coming into the State Treasury.
We would appreciate your consideration of these issues that are pertinent to the delivery oflocal public health.
. Local governments must be assnred of a funding stream to provide services eitber through
. the Reimbursement for repealed property/inventory taxes or
. capability to generate equitable local fimding
. Restore tbe contract with tbe Division of Public HeaItb and tbe Association of North Carolina Boards ofHealtb
(ANCBH).
.ANCBH serves as a resource and commlUlications network for local Boards of Health and Health Directors on many
important issues such as fiscal accountability, governance, and policy development
. ANCBH provides on-site education and skill building services for board members to assist with: interviewing,
recruiting, and performance evaluation of the Health Director, understanding the content and mandates of the Public Health
Laws as related to fiscal and programming matta-s, such as budget development and dental access.
.
. Seven million dollan are desperately needed in local healtb departments to continue prenatal care to nOD-
Medieald, uninsured patients served in local health departments.
. Women who receive no prenatal care are three times more likely 10 deliver a low birth weight baby.
. The cost of caring for five (5) low birth babies will pay for the prenatal care of 149 women.
. Non-Medicaid eligible, uninsured population rely on county health departments for prenatal services.
. Costs have risen 3-5% compounded armually and have been absorbed by increasing local tax revenue.
. The North Carolina Division of Medical Assistance reported 5988 emergency Medicaid deliveries in 1999 which
equates to an estimated lost revenue oU8.48 million for prenatal care services. Physicians and hospitals get emergency
Medicaid for the delivery, but health departments receive no reimbursement for prenatal care.
. Thirty-four (34) counties report serious concern for the future viability of prenatal programs with three (3) counties
reporting an imminent change in service.
. 1bree miIIlon doIIan are needed to provide Interpreter services in local health departments in counties with a
substantial number of Spanish-speaking residents
. There was a 394% increase in Hispanic population in North Carolina over the past decade
. Communicating with limited English Proficient (LEP) clients strains local public health departments to maintain
confidentiality and assure that quality of medical care and services are not compromised
. Title VI of the federal Civil Rights Act of 1964 require health agencies receiving federal financial assistance to offer
free language assistance to LEP persons who seek their services of benefits
. Because federal fimding in health care is pervasive, all local public health departments in North Carolina are bound by
the requirements of Title VI
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TIm GrMn, MPA
#4.CounlJ-Depl.
GIIII....Hot>ed... Road
BurIInglDn,IlC 27217
Tel. 336-51~1.
FIX: 338-513-5593
IlC COU....1I17-42-G2
_IEItel
Woyne RIynar,-
_CounlJ - Depl.
307 COrnelius Homolt Boulevlfd
UlBngbln,llC 27541l
Tel. 91H1~1
FIX: 911l-814-4060
IlC COUrtorll1....7U1
--
....... R. BaIu...1IA
Edu-nbe CounlJ - Depl.
2909l101n _
TIllIonl,IlC 27886
T oJ. 252"'1.7511
FIX: 252"'1-7565
IlC COU.....OHO.o1
Sec:tItIIy .1,...,,..
1IorJ1L~,-
RIndo/pII CounlJ - Depl.
2222 B SOutll F.,-.1Ie Sb10l
AeIleboro,llC 272113
Tel. 336-31H200
FIX: 336-31~
IlCCourllrll1UW4
__I
_ D. BrIdgII, IIPH
Hendmoo CounIy HeoIth IlepL
1347 SplJ1anburg H1gllwoy
_,NC28792
Tel. _-4223
FIX: 828-697-4709
IlCCourllr_.o1
.
. Local human services ngencies mnst also have the ability to adequately handle the many complex personnel issues,
either through
. the restoration of the DHHS Regional Personnel Offices or
. an enhanced local infrastructure
. IDerease in Food aDd Lnolgi..g fees
. Utilize a sliding scale structure based on the number of seats in the facility
. Expand the types of facilities to impose fees such as push carts, meat markets, and grocery stores
. lnaeased fees would provide much needed resources at the local level to carry out the inspection program.
. Support HIV/AIDS preventioo efforts, because of the acute threat ofHlV/AIDS virus to North Carolina's social.
financial and public health status. through:
. allocation of one million dollars for local public health agency and community based organizations efforts in testing,
counseling and outreach
. clean and safe syringe exchange pilot programs in counties who want to volunteer with the approval of their local
Boards of Health
. raising the income limit for the AIDS Drug Assistance Program (ADAP) frODl 125% to 250"/0 of the federal poverty
level
. Allow the Secretary of the Department of Health and Human Services and her management team greater
flellibi1ity in determining the cots in programs and personnel that would be the least harmful to the viability of the
overaD pub1ie health system.
Again, we ask your favorable consideration to the needs we have in protecting the public's health in your community and
state.
Sincerely,
Tim Green
President
.
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.a.~.Q David E Rice
YPid 05/31/2001 03:10 PM
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To: bgreer@co.new.hanover.nc.us, gelajim@hotmail.com, wojewell@aol.com, linkrx@aol.com,
annerowe@mail.lig.bellsouth.net, ppsm ithsr@aol.com, wsteuer541@aol.com,
hankestep@isaac.net, 02seedoc@bellsouth.net
cc: Lynda Smith/NHC@NHC
Subject: Association of North Carolina Boards of Health (ANCBH)
New Hanover County Board of Health Members:
The Association of North Carolina Boards of Health (ANCBH) Contract has been
cut from the State
Budget (Senate Appropriations Bill). Please email our representatives on the
House Appropriations
Committee (Representative Wright's email addressis:Tomw@ncleg.net)
(Representative Nye's email
address is: Eddn@ncleg.net) to voice your support of ANCBH. My response to
Representative Wright is
listed below.
Thanks for your help, Dave Rice
...................... Forwarded by David E RicelNHC on 05/31/200103:07 PM ...........................
L,f',fDaVid E Rice ~
W""" 05/3112001 02:50 PM ~
~~:""".<<A:i~~~li,~~,,<."c'~~"...f1f<C.i-";;','o'<< '~J.<_"""-=;,,, ~--,~- , '-I-"'*'--c,,-= ~-~ -:";"';m,,",lq,--'
To: Tomw@ncleg.net
cc:
Subject: Association of North Carolina Boards of Health
Dear Representative Wright:
Please help save the Association of NC Boards of Health (ANCBH) and the power
vested in local governance through our local Boards of Health. Without these
funds, ANCBH will no longer exist. Board of Health members will not receive the
training required by the State.
Please restore the ANCBH appropriation of $100,000 to fund Board of Health
education and training.
. ANCBH started in 1986 and began receiving an appropriation from the
General Assembly in 1993 to provide orientation and education for local
Boards of Health. New Hanover County was instrumental is establishing
ANCBH. The maior recognition award of ANCBH is named in memory of Carl
T. Durham. former member and Chairman of the New Hanover County Board
of Health.
.
.
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. The mission of ANCBH is to have excellent local Boards of Health. ANCBH
accomplishes its mission through orientation, education, networking and
assisting local boards in developing and practicing effective governance.
. ANCBH serves as a resource and communications network for local Boards of
Health and Health Directors on many important issues such as fiscal
accountability, governance, and policy development.
. Each year approximately 300 Board of Health members are appointed by
County Commissioners to serve their counties.
. There are approximately 1000 VOLUNTEER Board of Health members cross
the state serving all North Carolina citizens to promote and protect the
public's health. The services ANCBH provides for these volunteers are one of
the few benefits they receive for giving back so much to their communities!
. A mere $100 per Board of Health member partially funds orientation and
education so board members can better fulfill their responsibilities outlined in
NC General Statutes 130A.35 & 39 "to be the policy.making, rule.making and
adjudicatory body for local public health" and to "protect and promote the
public's health."
. Investing in local board members benefits the state in providing informed and
effective governance of local public departments.
.
Thanks for your time and consideration.
David Rice, Health Director
New Hanover County
drice@co.new-hanover.nc.us
(910) 343-6591
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