12/04/2002
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, New Hanover County Health Department
Revenue and Expenditure Summaries for October 2002,
Cumulative: 33.32% Month 4 of 12
Revenues
Cumulative %
33.32%
Month Reporl8d
Mon4o'12
Oc\-02
ypeof
Revenue
Budgeted
Amount
Current Year
Revenue Balance,
Earned Remainin
%,
Prior Year
Revenue Balance
Earned Remalnln
%
Federal & State
e Fees
Medicaid
Medicaid Max
EH Fees
HeaKh Fee.
Other
$ 1,692,429
$ 533,044
$ 1 ,035,386
$
$ 312,900
$ 112,850
$ 1 881 044
278,654
186,389
179,573
6.23%
23.91%
19.54%
0.00%
20.35%
32.43%
15.93'110
Expenditures
e Current Year Prior Year
Budgeted Expended Balance % :t Budgeted Expended Balance %
.~
Amount Amount Remainin '::::': Amount Amount Remainin
if'
$ 2,570,912 $ 6,560,616 28.15'110' :., $ 8,607,903 $ 2,051 ,340 $6,556,563 23.83'110
$ 532,483 $ 1,393,383 27.65'110 x. $ 1,578,085 $ 397,874 $1,180,211 25.21'110
$ 2606 $ 181140 $ 34,457 $ 91,701 27.31'110
$ 8135139
Summary
Budgeted Actual %
FY 01-02 FY 01-02
Expendnures:
Salaries & Fringe $9,131,528 $2,570,912
Operating Expenses $1,925,866 $532,483
Capital Outlay $183,746 $2,606
Total Expendnures $11,241,140 $3,106,001 27.63%
Revenue: $5,367,653 $1,315,600 24.51%
e Net County $$ $5,873,487 $1,790,401 30.48%
Revenue and Expenditure Summary
For the Month of October 2002 '10
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NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
GRANT APPLICATION STATUS FY 02-03
OiitelBOHF Grant' "c'", Reauested PendlniL R$i:ehi4ld Denllid /
NC Health and Wellness Trust Fund-Teen ,
Tobacco Use Prevention & Cessation Program
11/612002 $100,000 Der vear for 3 years) $100,000 $100,000
Safe Kids Buckle Up Program-NDrth CarDlina , ,
101212002 Safe Kids $5,000 $5,000 *
Developing Geographic Information Systems
(GIS) Capacity In Local Health Department In
Eastern North Carollna-Ouke University ,
Nicholas School ofthe Environment and Earth
, Sciences lNSEES\ $18,000 $18,000
= o reDOrt for,SeDtember 2002..:: ::"
~~~ ;,: ;;:;: ;;::: ::: I,~.~:~.~!~' ,~~, mx~r;lJ~r:~~g~.~:.Z.':I~~~::" ....... . . . . . . . . . . . . . . . . . , .
.".:'"".".'"'lr..(..a.l:tlVltyto.r~!"N~IY~,,,,~..... ..,.,. :-;:-;':1""""
PROJECT STOP-Prenatal Health Education
and Information/Referral Servlces- March of
Dimes Community Grant Program (T!1ls served as
an Intent to apply for $49,975-the act~alapplication for
thla grant wenlthrough In October 2OO2-the amount
6/512002 changed to $50,000) , ,$50,000:::;+$50,000, "
.......................................~
....-',..............".........."..
::::::::::::::::::::":, 0:.1' VI _ o:le or, a; .,.,-':~ ';C""
.... ..........'........'.....:..:..,.:~.l:t'VIlYlo.pour':M~~, ,~,....:...:..:.
""',",',"', .O'G V ,0fepOrtlor.Apr .' "",'
.0aC1lvllylo,reportlor'Marc . .,...,.. ...",. . ". ..", ...'.... .:::~...,...". ....
liIIal:tIVltyorSPOrtl0rFebruary2D02, " , ,,' " .",.. .. ,'.,' ..........".
.. 9:.t;tlV.~y:..~:t~port;19r:January:2o.o.2;: ':. --::::::-,; . ,," '.": .., :.:..
Diabetes Education, Management and
12/5/2001 Prevention - CFMF $60,000 $30,000 $30,000
I;:'"
Youth Tobacco Prevention projecl- RDbert
l1n12001 . WODds Johnson Youth Center $11,800 $11,800
Teens Against Tobacco Use (TATU)-Health
Action Council of NC $350 $350
Healthv Carolinians- NC DHHS $10,000 $10,000
Family Assessment Coordination- March
9/5/2001 of Dimes $16,500 $16,500
Folic Acid Proiect- March of Dimes $16,618 $3,000 $13,318
Safe Kids Coalition- State Farm"Good
Neighbor" $500 $500
TB Elimination and Prevention - CDC,
8/1/2001 NCDHHD, DPH, TB Control Program $10,000 $9,200 $800
Teen Aids Prevention /TAP)- CFMF $45,500 $25,000 $20,500
Diabetes Today - Diabetes Prevention & Control
7/1112001 Unit, NCDHHS $10,000 $10,000
Lose Weight Wilmington - Cape Fear Memorial
Foundation $75,000 $75,000
""".",.""..',""""""',,,,'" "'.:. ,,' Tol"ls 5429;268 1$150:000 $122850 .. .S1siH18
34.94%
28.62%
36.37%
Pending Grants 2 13%
Funded Total Request 7 47%
PartiallY Funded 4 27%
Denied Total Request 2 13%
Number of Grants Applied For 15 100%
33
As of 11/2712002
. NOTE: Notification received since last report.
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NEW HANOVER COUNTY BOARD OF HEALTH
2003 Meeting Dates
. January 8, 2003
,
. February 5, 2003
. March 5, 2003
. April 2, 2003
. April 10, 2003 - Staff Appreciation Luncheon
. May 7,2003
It . J~ne 4, 2003
. July 2, 2003 , ,
. August 6, 2003
. September 3, 2003
. October 1, 2003
. November &, 2003
. December 3, 2003
. December 11,2002 - Holiday Celebration
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NEW HANOVER COUNTY
BOARD OF HEALTH
2029 SOUTH 11rH STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
E...,.,...._._.
,
GeJa N. HUDter, RN, FNP, OudnnaD
W. EdwiD Link, Jr OJ RPb, Vice-Oaainnaa
lIeDry V. Estep, RIIU
Marvin E. FreemaD, Sr.
CommissioDeJ' Robert & Greer '
WilsoD O'Kelly Jewell, DDS
ADoe Braswell Rowe
PhIlip P. Smith, Sr" MD
MelDdy C. Speek, DVM
WUIiam T. SteBer, PF/PUi
Edward Weaver, Jr., OD
DDvid E. Rice, MPH, MA
HealthDIncIor
LYDda F. Smith, MPA
Assi.rtanl Health Din<ll>>"
November 14, 2002
.
Senator Patrick Ballantine
1127 Legislative Building
Raleigh, N. C. 27601
Dear Senator Ballantine:
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The New Hanover County Board of Health (NHCBH) is corresponding with you to express our concerns
regarding under funded and unfunded mandates. With our resources becoming more limited during the
, last couple of years, we have felt the effects of additional requirements from the state without the
resources to support them. The heart of the problem is the unclear relationship between who pays for it
program and who makes the rules for it.
A state directive that compels local health departments to provide a service, program, or benefit without
providing the appropriate monies or a funding source is regarded as an under funded or unfunded
mandate. Examples are recent planning efforts for pre-event potassium iodide distribution and pre-
event, event response, and mass smallpox vaccination. Several environmental health programs are
extremely under funded, including permitted food establishment programs. Fees for Child Services
Coordination and Maternity Care Coordination programs have been changed substantially. Additional
personal health services programs could be listed as well.
NHCBH recognizes that some state mandates are justified because they achieve agreed upon statewide
policy goals. However, many, if not most, mandates on New Hanover County Health Department are
imposed without our consensus or the resources for implementation. Mandates drain the financial
lifeblood from health departments and cripple their ability to adequately deliver the fundamental services
required by law. Mandates also compromise our ability to provide discretionary services requested by
the local community. Therefore, NHCBH opposes any state or federal actions that limit the ability of local
elected officials to make fiscal and public policy decisions for the citizens they represent.
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S1J;/J~~~
Gela N. H~;;:';~. FNP
Chairman
"Your Health - Our Priority"
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Dennis Harrington
<Dennls.Harrlngton@n
cmall.net>
11/1812002 08:59 PM
To: driee@nhcgov.com
cc: leah.devtin@ncmail.net, Joy.Reed@dch.dhhs.ncmail.net, (bee:
archive, mediaarch)
Subject: Re: NHCBH Letter to stete Legisletors
-
Dave,
Please know that you are singing to the choir. Leah and I are the two
boldest advocates for local health departments to receive funding when
asked to perform additional functions at the local level. NHCHD like the
other 84 LHDs suffer from the same syndrome and that is we at the state
level are cut and mandates increase. I assure that Dr. Devlin and I
have been dogmatic in our commitment to protect our LHDs from the cuts
that have been driven our way from various sources, but times are very
hard and as our leaders have said to us, the cut must follow the dollar
when we are at bare bones.
Take care and know that you are supported by your State Health Director!
Dennis H
drice@nhcgov.com wrote:
>Dennis and Leah,
>
>I've attached a letter that was signed by the NHCBH Chairman regarding
>under funded and unfunded mandates. The letter was the result of a
>discussion at its November 6 monthly meeting.
>,
>(See attached file: Mandates.rtf)
>Thanks,
>
>David E. Rice, Health Director
>New Hanover County Health Department
>2029 South, 17th Street
>Wilmington, NC 28401
>Phone (910)343-6591 Fax (910)341-4146
>drice@nhcgov.com
>http://www.nhchd.org
>
>
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NEW HANOVER COUNTY
BOARD OF HEALTH
2029 SOUTH 17TH STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
E..-E...,..'._.
Gela N. HUDter"RN, FNP, Cbainn8D
W. Edwin Uak, Jr., RPh, Vice-OulirmBD
lIe.ry V. Estep, RHU
Marvin E. FreemaD, Sr.
CommissioDer Robert G. Greer
Wilsoa O'Kelly Jewell, DDS
Anne Braswell Rowe
Philip P. Smith, Sr., MD
Melody C. Speek, DVM
William T. Steuer, PFlPLS
Edward Weaver,Jr., 00
David E. Rice, MPH, MA
Health Dinclor
Ly.da F. Smilh, MPA
Assistant Health Director
November 14, 2002
Ted Davis, Jr., Chairman
New Hanover County Board Of Commissioners
320 Chestnut Street, Room 305
Wilmington, NC 28401
Dear Mr. Davis:
. '
The New Hanover County Board Of Heallh Environmental Health Committee has been through a review
of the water conservation regulations enacted this past summer by the Board Of Commissioners. Our
objective was to determine if similar standards should be established for private drinking water wells in
the unincorporated area of the county. Many years ago, the Board Of Health enacted standards for
locating and constructing private wells to assure safe drinking water for residents and to protect our
groundwater resources.
As a part of this process, we contacted counties in the piedmont area of the state who have been most
visibly impacted by drought weather conditions, and state water quality and resources personnel.
Charles Stehman, PhD, Regional Hydrologist with the NC Department Of Environment And Natural
Resources met with our committee members and Environmental Heallh staff to provide information about
local groundwater resources, the impact of drought weather conditions and large quantity usage such as
might occur on golf courses and other recreational areas. Dr. Stehman described New Hanover County
as having an abundance of groundwater in the Castle Hayne and Pee Dee aquifers.
The problem individuals have with the loss of water is a function of their pump and well system usually
due to shallow or improper systems. There are a number of options to correct this problem including
installing deep wells and adequate pump systems.
Over a period of time, the aquifers will recharge, however, more rapidly in normal or wet weather t~an the
extremely dry conditions we experienced during the past summer
"Your Health - Our Priority"
Ted Davis, Jr., Chairman
New Hanover County Board of Commissioners
November 14, 2002
We did not find any piedmont counties that had implemented water conservation measures for the users
of private drinking water wells. They only applied to the users, of municipal or community water systems.
Municipal or community water supplies in these locales draw upon reservoirs or surface water as their
source of drinking water and are clearly affected by rainfall.
Hence, it is our conclusion at this time that enacting a wat~r conservation regulation for private drinking
water wells is not necessary to protect the public's health, and we cannot recommend such action to the
New Hanover County Board of Commissioners.
1Qou,
Gela N. Hun er, RN, FNP, Chairman
New Hanover County Board Of HeaRh
GNH:fd
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November 2002
New Hanover County Health Departmerat
Acute HIV Infection:
New Testing Available in
North Carolina
Public Health Departments
As of November I, 2002, public
health departments in North
Carolina are able to provide testing for
acute HIV infection in addition to the
HIV antibody test. Acute HIV infec-
tion, characterized by high viral burden
and evolving host immunity, is also
sometimes characterized by a self-
limited mononucleosis-like "acute ret-
roviral syndrome" that is rarely diag-
nosed.
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In a pilot study conducted by the Uni-
versity of North Carolina at Chapel
Hill Center for AIDS Research and the
NC Department of Health and Human
Services (Pilcher, McPherson, Leone,
et al; July 10, 2002 JAMA), the preva-
lence of acute HIV infection in North
Carolina's routine HIV fit
counseling and testing popu-
lation was examined using
HIV nucleic add screening
of seronegative serum
specimens. It was esti-
mated that 40 to 60 acute HIV
infections may be identified annu-
ally through an expanded acute
HIV screening program.
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These findings may be of great signifi-
cance as they relate to the hypothesis
that early antiretroviral treatment dur-
ing acute infection may augment host
immunity and Improve long-term prog-
nosis. HIV transmission can occur
readily during acute HIV Infection and
may account for a disproportionate
amount of HIV transmission as com-
pared to transmission by individuals in
later scages of infection. This transmis-
sion during previously undetected in-
fection, may be reduced.
Those blood samples submitted to the
state lab through NC public health de-
partments which are found to be anti-
body negative, will be tested for HIV
RNA by reverse transcriptaSe-
polymerase chain reaction (RT-PCR).
The precise time at which the PCR can
detect HIV RNA after infection is un-
known. However the new testing pro-
tocol could pick up early infection that
occurred from two to six weeks be-
fore the test.
Those patients who have a negative
HIV PCR and HIV Elisa, yet who have
had a risk of infection within the past
three months will be encouraged to
have a follow-up test, and to remain
risk free until the follow-up test is
done.
Patients may be referred to the Health
Department for HIV testing by calling
343-6537 for an appointment. For
more information, contact Vivian
Mears, HIV Program Nurse at
343-6653.
The Dilemma of Bats
The death of a 13 year old boy in
Tennessee from rabies encephali-
tis points to the need for continued
education of health care providers and
the public about ~
the danger of
rabies con-
tracted from
bats. The child
found the bat on the ground at a
nearby lake and brought it home.
There was no report of a bite from
the bat which was released the same
day. The family had several other pets,
none of which had been ill. Not know-
ing the danger of rabies transmission
from bats, and not suspecting a prob-
lem in the absence of a bite, the family
Betsy Summey, FNP, 343-6531
did not seek any counseling or treat-
ment for the child relative to the ex-
posure.
Certain prevention guidelines should
be followed, especially since bat exp0-
sures are often ~e in detail. Unvac-
cinated and untrained individuals '
should not handle ,bats unless neces-
sary. If necessary. protective glov'lS
and safety precautions should be used.
Children. in particular. should be cau-
tioned regarding their danger. Bats are
not appropriate petS and should be
excluded from buildings and other
structures close to humans. Regard-
less of how beneficial bats may be in
insect eradication, the trend of erect-
ing bat houses should be discouraged.
Where there is a known or possi-
ble bat exposure, testing of the
bat by public health officials can '
facilitate rapid post-exposure pro-
phylaxis when indicated, and
minimize the unnecessary use of
an expensive therapy.
Unintentional Drug
Overdose. A Public Health
Problem in North Carolina
The number of deaths from .unin-
tentional drug overdoses in
North Carolina increased over 110
percent from 1997 to 200 I, according
to a stUdy released in September by
the NC Department of Health and Hu-
man Services. Overdoses of either
legal or illicit drugs accounted for
more than half of all poisoning-related
deaths in the state during that five year
period. North Carolina's rate and
number of drug overdose deaths
is rising faster than the national
rate.
continued
Eighty percent ~f those dying from
drug overdoses were white. The
average age was 39. Two-thirds of
the deaths occurred in men; how-
ever, the number of deaths among
women increased over 200 percent
in the same time period. The highest
number of drug-related deaths oc-
curred in the most populous coun-
ties, but the state's smaller rural
counties had, the highest drug-related
morcality rates.
The number of deaths from her-
oin and cocaine was fairly con-
sistent from 1997 to 200 I. The
increase in total number of
deaths was due t~ ..
prescription nar- ~
cotics such as
morphine, oxy-
codone, fentanyl, and metha-
done. Methadone clinics do not
seem to be the source of metha-
done-related fatalities in North
Carolina.
In response to the information, Car-
men Hooker Odum, secretary of the
NC Department of Health and Hu-
man Services, is appointing a multi-
disciplined task force to develop rec-
ommendations for new policies and
procedures for reducing these kinds
of deaths.
Think TB
Fluoroquinolones
May Bea Problem
F luoroquinolones are quite active
against Mycobacterium tubercu-
losis, and while not considered first-
line treatment, have an imporcant
role in treatment of multidrug resis-
tant TB. The widespread use of
fluoroquinolones for treatment of
community acquired pneumonia
(CAP) has some concerned that the
diagnosis of TB may be missed or
delayed.
Dooley and colleagues reported in
Qin/co/ Infectious Diseases 2002, Vol.
34, their findings in 33 recent cases
of pulmonary TB diagnosed in the
United States. T wenty.four (73 per-
cent) of these cases were first
treated for presumed CAP. Twelve
received a fluoroquinolone alone,
four received a fluoroquinolone plus
another antibiotic and seven received
an antibiotic other than a fluoroqui-
nolone. The outcomes of 16 of the
patients receiving fluoroquinolones
with those who did not were stud-
ied. The groups were nearly identi-
cal in symptoms - cough, fever,
night sweats, and weight loss. X-ray
findings were similar as well, with 13
percent in each group having cavitary
disease.
Those patients receiving fluoroqui- ,~
nolones experienced a significant de. ...
lay in the diagnosis of tuberculosis
compared to the group who did not
(median 21 vs. 5 days), and were
more frequendy discharged before a,
diagnosis of TB was made (63 per-
cent) compared to the grou~ ~h.o
were treated with other anabloacs
(29 percent). Specimens for AFB
smear and culture were also ob-
tained on both groups in a similar
time frame and revealed similar re-
sults. The patients' early discharge
may have been due to a rapid clinical
response to the fluoroquinolone
therapy - 83 percent showing signifi.
cant improvement within three days.
Although the question was not
specifically addressed In this
study, the concern is that em-
piric use of f1uoroquinolones
may Impair the diagnosis of TB,
especially if specimens for AFB
are not collected at presenta-
tion. In addition, there is the con- _
cern that yet another drug may be- ,.,
come resistant to MTB, although it is
generally felt that fluoroquinolone
resistance would not occur within
the usual I 0-14 day course of ther-
apy for CAP.
Communicable Disease Statistics
New Hanover County
July 1, 2002 - October 31, 2002
AIDS .......................................11
Campylobacter ........................5
Chlamydia............................155
Gonorrhea .............................47
Hepatitis A ...............................2
Hepatitis B (acute) ..................6
Hepatitis B (carrier).................O
Hepatitis C (acute) ..................0
HIV Infectlon..........................17
Legionellosls ...........................0
Llsterlosls................................O
Lyme Disease..........................2
Meningitis Pneumococcal......1
Meningococcal Disease..........1
Pertussis ....................................1
Rky. Ml Spotted Fever ..............2
Salmonellosis...........................63
Shiga-Toxin Producing Infection
(formerly E. coli 0157:H7).......1
Shigellosis..................................2
Strep, Group A Invasive ............0
Syphilis .......................................3
Toxic Shock Syndrome .............1
Tuberculosis ..............................0
Typhoid (acute) ..........................0
Vancomycin Resistant
Enterococcus .........................1
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Building Bridges to the Future
2001-2002
ANNUAL REPORT
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_ NEW HANOVER COUNTY _
OUR VISION
The New County Partnership for Children envisions every child entering school
with the health, family support, and early education necessary to succeed.
Dear Citizens of New Hanover County:
The purpose of the New Hanover County Partnership for Children has always been to improve the circum.
stances for young children and their families in our community. In spite of only being funded at one-half of the
identified need in our county and significant cuts of nearly 25% in an already tight budget, the Partnership contin-
ues to focus on family support, health and child care quality for our youngest citizens, knowing that these things
impact the entire community socially and economically.
The Partnership takes very seriously its role as stewards of public funds. It has had to creatively identify
ways to adjust to budget cuts without destroying the significant service to the community. All this has been done in
a careful way with effective oversight of all programs and fiscal monitoring as reflected in excellent audits recently
done by the NC State Auditors. The Board of Directors also plays an important role in this process through its ac-
tive involvement in oversight and decision making.
Strategic planning is a key to the successful operation of the Partnership. Using data from a comprehen-
sive, county-wide study, goals are set in order to fill gaps in community services to children and at the same time
meet state mandated performance standards.
One of the highlights of the Partnership's work this year has been the Share the Care campaign. This
collaborative effort of private day cares, businesses, community members and the Partnership Board has provided
much needed assistance for working families whose young children need child care. This was a response to critical
need when child care subsidy money ran out and is a great example of the community support of and involvement
with Smart Start.
The Partnership works with several other agencies to effectively serve children and their families without
duplicating services. Success by Six, a United Way grant program, and the state funded More at Four are two ex-
amples of such collaboration. Outside grants and resources are an important aspect of our work. They support our
programs above and beyond the required match of state dollars.
Helping young children of New Hanover County to reach school healthy, motivated and ready to succeed is
what the Partnership for Children is all about. It is the right thing to do for the children and for the community.
The Partnership looks forward to continuing to playa major role in that process in the years to come.
Smart
I Iii!] ii
Sincerely,
~~e~
Patricia C. Carriker, Chairperson
2001-2002 EXPENDITURES
Evaluation
2%
Health Relaled
'"
Child Care Subsidy
38%
TOTAL ALLOCATION
$2,604,689.00
CONTRIBUTIONS
Cash
$432,353.43
In-kind
$177 ,915.03
TOTAL
$610,268.46
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OUR BELIEFS
. Every child's health and success is critical.
. Parents are a child's first and most important teacher
. The strength of a community is reflected in the well-being of the youngest children.
. A community is responsible for providing effective support services to young children and their families.
Quality ChUd Cue ~
QUALITY BllBA111CHMBIft' (New Hanover County Partnership for Children)
Quality Enhancement is a comprehensive project which provides 1,2 and 3 star-rated licensed child care homes and centers with qlportu-
nitles, support and Incentives to Improve the quality of early education provided to New Hanover County's young children and fam1lles.
Th1S Is done by: 1) support for quality Improvements; 2) tra1n1ng and technical assistance; 3) support for higher education, staff retention
and lower staff/child ratios; and 4) professional development.
GROWING BBADIRS (New Hanover County Publlc Library)
The New Hanover County Library prOvides a range of Library-based activities to New Hanover County children ages birth to five, their par-
ents, and child care providers. Growing Readers addresses the cognitive needs of young children for a language-rich environment during
their preschool education and aleo answer the demand by child care providers for llteracy activities and resources. Programs Include story
time at child care centers, theme book bag llterature collections, workshops for parents and teachers, and llbrary materials for children,
parents, and teachers.
I1I'1'BIlVB1I'fION/IlICLUSION COLLABOBA'fION
_ (United Cerebral Palsy, New Hanover County Community Actlon/Headstart and Southeastern Center for MH/DD/SA)
C---"hIS Is a collaborative project providing Inclusion and intervention services for special needs children O-BIn New Hanover County Planned
Jervlces encompass observation and Identlflcatlon of children; direct services as well as referral for services for children; training and
support for child care providers; tra1n1ng and support services for parents and mental health therapy services to children and their fami-
lies.
CPR,. PIBST AID 'l'BAINING POR CHILD CAlI PROVJDIRS (American Red Cross, Cape Fear Chapter)
ThIs service Is available to all child care providers In New Hanover County In order to enhance the safety of children In child care by reduc-
Ing emergency response time and reducing the risk that a fac1llty w1ll be without a CPR/First Aid trained provider due to employee turn-
over. Community First Aid and Safety classes are offered at various times and locations convenient to child care providers In New Hanover
County and on-site training for the entire staff of child care centers Is avallable.
CHILD CJUlIlSUBSIDIIS (New Hanover County Department of Social Services)
Parents who work or attend school/tralnlng can receive assistance In paying child care for children under the age of six.
WINGS (New Hanover County Partnership for Children)
ThIs project Improves the school readiness of children In New Hanover County through one-on-one relationships. A parHlme WINGS
Coordinator matches trained volunteers with approximately 120 young children In child care centers for two thirty minute sessions
weekly over approximately eight months ut1llzlng a series of educational activities and games to build cognitlve,llngulstlc and motor sk1lls.
WAGI$ Salary Supplemen' ProCram (Child Care Services Associa-
tion)
Child Care WAGE$ program provides education-based salary supplement to low paid teachers, directors, and family child care providers.
Family Support ~
LA'fINO SUPPORT SIRVJCIS (New Hanover County Partnership for Children)
.,patlno fam1lles are assisted In applying for Health Choice or Health Check as appropriate and accessing services from other human ser-
ices agencies In the community The LiaiSon assiSts Latino families In finding llcensed child care situations and provide services to child
~are centers In order to bridge communication gaps. Child care Is aleo provided during Engllsh as a Second Language classes In collabora-
tion with the local community college. Additional interpreting and support services are ava1lable to help famllles access services as needed.
NAVIGA'l'OR (New Hanover County Health Department)
With assistance from a Cape Fear Memorial Foundation grant, Publlc Health Nurses make weekly and biweekly home visits providing SOCI~--,"\
support and resources to build parenting skills to high-risk familles (first time mothers, 100% poverty or below). A Family As99ssment V
Coordinator, working at the hospital, makes certain all mothers of newborns are visited and a detalled assessment is conducted on all fami-
lles. Appropriate parentlng information Is prOvided and referrals to community programs are made as needed_
'1'BINI'1'Y CHILD CAlI (TrInity United Methodist Church)
Trinity Child Care Center of Trlnlty United Methodist Church maintains quality care spaces for the children of teen mothers attending New
Hanover High School which Is aqjacent to the church. Transportation to child care Is prOvided to mother and child. Parenting and child
development information is avallable for all mothers_
PAlllLY SBRVICBS (New Hanover County Partnership for Children)
Programming and/or information focusing on child development, kindergarten readiness, Integrating family llfe into the workplace and the
overall health of children is provided. In addition, the Family Services SpeCialist works collaboratlvely with agencies in New Hanover
County to advocate for services and systems that are responsive to family and community issues.
PABBII'1'8 AS 'l'BACBBBS (Planned Parenthood of the Capital and Coast)
Through the Parents as Teachers curriculum, parents and children are offered learning opportunities that encourage the child's physical,
language, intellectual and social/emotional growth. ThIs Is accompllshed through individualized home visits, monthly group meetlngs, devel-
opmental screenings, modellng and support to parents. Additionally, parent educators work with providers in family child care homes to
improve child-teacher Interactlon using the Parents As Teachers approach.
IIIA'l'BBIII'l'Y OU'l'BBACB (New Hanover County Health Department)
With assistance from a Cape Fear Memorial Foundation grant, Maternity Outreach Workers provide concentrated services to assist
high-risk pregnant women and their families with non-cllnical aspects of pregnancy Intensive home visits and fOllOW-Up assure all
resources are In place for new mothers to have healthy babies and become good parents.
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Health Services
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CHILD CAlI NURSING (New Hanover County Health Department)
This program provldes ongoing health and safety consultation and technical assistance, health screenings, on-site immunizations,
maintenance of health records and assistance In the development of health pollcies. Health and safety education Is provided to child
care facilltles and target providers, parents and children through in-service calls, newsletters, conferences, puppet shows, etc.
RBAL'l'H CRICK COOBDINA'1'ION (New Hanover County Health Department)
The New Hanover County Health Department Increases the participation rate of Medicaid ellgible children in Health Check well
check-ups by contacting parents of Medicaid ellgible children to encourage them to take advantage of the Health Check servlce, to
assist them with making appointments with the health department, local pediatricians, and other cllnics, and to assist families with
their transportation needs to and from appointments.
VISION SCBBBNlNGS (Prevent Bllndness of North Carolina)
Provldes on-site photorefractive screenings for children ages 2-5 In local child ClIre facUlties, using trained volunteers and certified
screeners.
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MAKING A DIFFERENCE
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'AMILY SUPPOB'l'/CBILD CAD
'Without Child Care subsidies, many people would be unable to work and support their families due to the low wages they earn. It is a
blessing for children, parents and employers in our community_ "
Ann M. Bar1<ley. Community and Support Services Chief, New Hanover County Department of Social Services
431 - - - - - Fa.milies received Intensive family support
2688 - - - - -Famllles received non-intensive family support
724 - - - - - Chlldren received subsidized care
798 - - - - - Parents able to continue employment, trs.lning or educational curriculum due to subsidy
BAIlLY IIDUCATlOII QUALITY IIIIPBOVllMBII'l'
'The work that Smart Start does to improve the quality of childcare in our community also increases professionai development
opportunities for students in the Education of Young Children Program at the University of North Carolina at Wilmington. We especially
appreciate their efforts, because we have too few faculty to do extensive outreach. "
Dr. Edna Collins, Education of Young Children Program Coordinator. UNCW Watson School of Education
863 - - - - - Teachers/Directors received trs.lning in early childhood Issues
62 - - - - - Teachers/Directors received early childhood education resulting in college credit
56 - - - - - Teachers/Directors participated in activities designed to increase child care licensure status
288 - - - - -Children impacted by activities designed to increase child care licensure status
420 - - - - -Providers who received trllinlng and/or technical assistance working with children w/special needs
3354 - - - - Chlldren receiving llteracy programs
RIlAL'l'B CABII
"Thanks to the Partnership-Children and families benefit from improved access to healthcare as a result of the programs and the
collaborative relationship with New Hanover Health Network. "
",.-.... Barbara Buechler, Director of Women's and Children's Services, New Hanover Regional Medical Center
Je'
'--- 217 - - - - - -Children with special needs received therapies or intervention
2706 - - - - - Children received vision screenings
361 - - - - - Children received speech/language and/or developmental screenings
266 - - - - - Children received hearing screenings
3000 - - - - - Chlldren received health education
68% - - - - - The % of Medicaid chlldren 0-5 received preventive health services
ACCOUNTABILITY
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,j PBlS-The Performance-Based Incentive System is an evaluation mechanism mandated by the North Carolina General Assembly
to measure the performance of local Smart Start Partnerships.
,j Evaluation is an essential component of effective decision making. The outputs and outcomes of each service are monitored
through a quarterly reporting system and reported to the North Carolina General Assembly.
CON'l'BlBUTlORS OVER $800
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* 1st Choice Janitorial *PPD Development
* AFLAC * Rotary Club of Wilmington, NC
*BB&T *Wachovia Corporation
*Cape Feer Computers/Cape Fear Webmasters, Inc.
*Environments, Inc.
r . -l'Jrst Presbyterian Church
ear&plan Early Learning Company
- Lakeshore Learning Materiels
*Thomas Parker
o Cape Fear Memorial Foundation: Navigator Program
o Wachovla: Healthy Homes: Asthma Management
o The Landfall Foundation: Latino Support Services
o Cape Fear Community Foundation: Latino Support Services
I. New Hanover County Partnership for Children Staff /'~~,
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Janet Nelson
Executive Director
Stephanie Ables
Quality Enhancement Consultant
Jllimee Blackman
Program Manager/Evaluator
Beth Bowen
Family Services Coordinator
Flavia Dudley
Business Administrator
Krista Eller
Quality Enhancement Coordinator
Audrey Foster
Contracts/Finance Specialist
Randall Hardgrove
Quallty Enhancement Consultant
Barbara Kretschmer
Latino Outreach Specialist
Tina Parker
Director of Finance/Employee Benefits
Natalie Pond
Quallty Enhancement Consultant
Wanda Pugh-Trice
Administrative Specialist
Alan Swart
Latino Outreach Coordinator
Sheila Whitmeyer
Outreach and Education Coordinator
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Every child entering school ready to succeed
Board of Directors
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Melania. Anderson Royce Angel Dan Ballard
Community Representative Community Representative Ballard Therapy Services
Rev John Burton Patricia Carriker Tlllldy Carter
St. Stephen A.M.E Community Representative Deputy Chief of Pollee City of WIlmington
Betty Clark Lori Daley Jim Hall
Noah's Ark Community Representative OVer the Rainbow
Cheryl Aguilar AI Lerch Jllllet McCumbee
Precious Little Angels NECo. Schools NECo. Health lJepa,rtment
Chris McNamee Patricia Melvin Lisa Noecker
NHCo. Department of Social Services Assistant County Manager PPD
Arleta Oldfield David Paynter Nllllcy Pritchett
Community Representative NECo. Public LIbrary NHOo. Board of Commission
Ricky Strickland Tony Stroud Lorn Sumner
AAl Ballard Therapy SerVices Pa.rent Representative
Judy Wail Kenneth Weeden Kent Wooten
Southeastern Center Ken Weeden Be Associates NHCo. Cooperative Extension
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Cynthia Brown
NECo. Community Action-Head Start.~
Nllllcy Cates
UCP Center
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Henry Hawthorne
Community Representative
Becky McGee -Rudson
WUmington TEACCH
Sarah Norris
Total ChUd Care
Robert Smith
Cape Pear United Way
Rhonda Tighe
Cape Pear Communlty College
Mary Yopp
Park Avenue School
"Providing Child Care Assistance for Working Families in Need"
For more information about this campaign, or other Smart Start Services:
The New Hanover County Partnership for Children
Phone: 910-815-3731 Fax: 910-815-3733
www.newhanoverkids_org
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STRATEGIC PLANNING PRIORITIES
December 4, 2002 Update
I. Access to health care
(Issues #7.11 & 5)
-+ During October 2002, Dr David McDaniel met with the President of the Wilmington
TriCounty Dental Society and others in order to design local activities for the upcoming "Give
Kids A Smile (GKAS)" Program, GKAS is a national umbrella for dental access activities set to
take place across the country in February 2003, with Dentists and Staff providing educational
outreach, screening, preventive care and treatment to underserved children, Details will be
announced as plans are further developed,
-+ ACS held its annual Inner City Rabies Clinic on November 9, 2002, at the Hemingway
Center (formerly Five Points), A total of 62 animals were vaccinated in the two hour period,
-+ Carolina Access 111111: The Carolina Access 111111 committee for New
Hanover/Pender/BrunswicklColumbus/Bladen counties met last week, It is expected that the
new nonprofit agency to administer this Medicaid case management program will have its 501 C
3 by 2003, and then with money from the state, will hire a Director and nurse manager The
board has been established and will meet monthly for now,
-+ Diabetes Coal~ion: Our foot screening at the Senior Center this morning was a success!
Our 5 volunteer docs saw 93 people and 186 feet, and it was a real team effort with lots of help
from many,
-+ Circumcisions: Effective 12/1/02, "optional" newborn circumcisions will not be covered by
the NC Medicaid program, Only those that are deemed medically necessary will be covefed,
This information will need to be shared with the clients we serve throughout the health
department as appfopriate,
-+ Health Choice Coalition: Our local Health Choice Coalition has received $40,000 for each of
the next 4 years, through the N,C, Pediatric Association, from Robert Woods Johnson
Foundation, The money has gone to Smart Start and they have hired a part time Bilingual
outreach worker to recruit Latinos for Health Choice, Their Family Service Coordinator will be
the Coalition Chair and help organize efforts with us and DSS, Janet McCumbee and Carmen
Potter are on the Coalition,
-+ Carolina Access 111111: of the Lower Cape Fear met 11/22 to review bylaws, It is now
incorporated and will be a 501 C3 organization soon, Subcommittees of the board are to work on
the budget, position descriptions, human resource policy, etc, and present these at the January
meeting in Columbus County, CA 11/111 will provide Medicaid case management for 5 counties,
-+
II. Preventive services & lifestyle-related risks
(Issues #12 & 15)
-+ Influenza vaccine campaign underway with adequate vaccine available but slow public
response,
-+ The MCC (Matemity Care Coordination) Program went through MAJOR changes as a direct
result of an abrupt change in the Medicaid reimbursement rate for the service, October 1, 2002
marked the effective date for implementation of the changes, The WHC team worked diligently
to process and implement the changes while gathefing data throughout the transition, It was our
intent to document the pros and cons of the changes and relate them to their
feasibility/practical~y when applied to feallife, As of November 4, 2002 the rates improved .
dramatically - based on our input and input from the Board of Health (letter submitted as a result
of the report of the changes and our anticipation of revenue losses). The rate went from $12 per
unit of service to $29,30 per unit of service, This will dramatically improve the ability to maintain
this valuable preventive service for New Hanover County residents, It has also demonstrated
the Dositive att~udes, resilience, hard work and dedication of the maternal health staff.
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-+ HIV Counseling and Testing: New HIV Counseling and Testing guidelines were effective
Nov 1 Staff trrained to conduct HIV Counseling and testing have been notified of the changes.
-+ Influenza Vaccine: Response to influenza vaccine has been slower than usual, even
though there are adequate supplies of vaccine. Off-site injections given to county employees.
-+ HIV/STD Surveillance: N.C. and New Hanover County HIV/STD surveillance report
released for January 1- September 30, 2002. A review of the county and state data supports the
public health concerns 'about health disparities by race. In New Hanover County, chlamydia
reports have increased while gonorrhea and syphilis cases have decreased compared to
previous 2 years. HIV and AIDS reports are slightly less than last year, but increased over
reports for year 2000.
-+
III. Communication, education & marketing (promotion>
(Issue #1 & 4 in Dart) .
-+ ACS held its second annual Public Health Conference for area veterinarians and .their staff.
Nineteen people came from the community for the evening meeting, which was very successful
in educating the participants about our duties and responsibilities. Most requested that we
continue to host the conference each year in the evaluations they completed.
-+ ACS sponsored a county-wide fund-raiser by adopting "Peanut" the Floppy Puppy. A total
of $830 was added to the trust fund for future animal needs.
-+ ACS staff participated in the City of Wilmington's Fit for Fun 'Woof, Wiggle, and Waddle
Day" held on October 11, 2002, to educate and entertain their youth.
-+ On November 5th, our Health Check coordinator hosted a regional meeting of coordinators
and state consultants to get state updates and network.
, -+ Health Choice / Health Check: Carmen Potter was interviewed on Channel 5 (local public
TV) last week about Health Choice and Health Check. She will receive a copy of the tape.
-+ Veterinarian Conference: ACS held its second annual Public Health Conference on October
24, 2002. 19 attended.
-+ ACS Fund Raiser' Animal Control Services would like to extend sincere thanks and
appreciation to all HD staff who supported us in our recent fund-raiser/adoption process. We
have solcj a grand total of 83 "Peanut" puppies, which translates into $830 dollars into our trust
fundi I Thank you for all your support!!!
-+ Annual and Quarterly Reports: The NHCHD Annual Report is scheduled to be completed
by December 1. Articles for the NHCHD Quarterly Report are due to Elisabeth Constandy by
November 15. The next quarterly report articles will be due 0(1 February 15, 2003.
-+ Diabetes Coalition: Diabetes Self-Management Classes;November 5, 12, 19, 26 - 3 to 5pm
at Cape Fear Community College; $15 materials. Phone 251-8111 to register Foot Screening
and Health Fair; November 15 - 9am to 12 noon at Senior Center Phone 343-6758 for info
-+ Alcoholic Beverage Venders Group: Food Safety Team staff recently met with a local
professional group who operate establishments specializing in the sale of alcoholic beverages.
The purpose of participation was to answer questions about the serving of food at their
establishments during special events. Many of these vendors do not routinely prepare and sell
food so are not permitted as restaurants. If they operate with reusable glassware, they are
instead required to meet standards for a drink stand permit. Staff were well received and
enhanced the Department's relationship with many individual group members. This effort will
serve our mutual public health interests in the future.
-+ Nursing Video: The Nursing Directors have received videos called "North Carolina Nurses
A Century of Caring" If anyone would like borrow the video see one of the directors. (57
minutes) North Carolina was the first state to pass a nurse registration law and create a Board of
Nursing in 1903.
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Facility utilization & Information technology
Issues #6 & 4 in art
-+ Plans are being made to determine a set time to begin building the new spay/ neuter facility
at the ACS shelter Ground-breaking will probably be held some time in February of 2003. The
structure should be completed in this fiscal year ,
-+ H-Drive Problems: We have experienced problems with folders/files being stored on the "H"
drive (srvnt1)- We are in the process of clearing up any problems that we have been notified of
to date. If you experience any problems accessing any of your files that you have saved to the
server please contact Cindy Hewett. '
-+ GWI Database: experienced some technical difficulties last week. If you submitted a ticket
to the GWI ticket queue and have not received a response - please resend- apparently there
were several tickets that were "lost" in the repair of the database- apologies for any
inconvenience this may have caused.
-+ QS/ HSIS Download: for November Data will occur on Friday, December 6th. Staff must
have all keying completed by COB Thursday, December 5th.
-+ County Mailroom: Is Open. Entrance via swipe card. Plans are in process regarding courier
service for Health Department more later,
-+ County Mailroom: Open in 2 weeks. Entrance via swipe card. Extra boxes available for
excess mail i.e. Finance, Human Resources, etc. Boxes to be numbered - excess mail boxes
should be numbered with corresponding number
-+ Facilities/Building: Partitions in Auditorium - today installation to be completed. AirlHeat out
for 4 weeks; Affected areas: Administration, Communicable Disease Office area, Family
Planning (Exam and FP Conference Area) Breakroom/Kitchen. Plus several other offices may
be affected.
-+ Facilities/Building: Partitions in Auditorium - installation was completed 11/01/02. Lynda
Smith will schedule inservice for those needing to learn to use the operable partitions (First will
be today at 11 :OOam in the auditorium). There will betraining sessions on Wednesday 11/6/02
at 11 am and at 3pm for anyone wanting to learn to operate the operable partitions. We need to
learn how to operate since property management will not always be available to divide the room
for us. (Pat Johnson will not be responsible for getting the partitions set up by property
management except for planned events ahead of time).
-+ Heating and Air Conditioning: Reminder' Property Management is replacing a Heating and
Air Conditioning Unit on the root The Family Planning Conference Room will not be available
from Today through November 15, 2002.
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V.
IV.
Water quality, storm water management & drainage; & Air
ualit Issues #3 & 8
-+ Water Quality: Staff are working with residents in a new subdivision, Archrnill Place, to
resolve a relatively unique drinking water issue for this area. The issue is the lack of a confined
aquifer from which to draw drinking water The Castle Hayne and Pee Dee aquifers offer an
abundant supply of quality drinking water for most New Hanover County residents who do not
have access to municipal or community water systems. Drillers, however, have determined that
there is no Castle Hayne and Pee Dee formation in the strata underlying this small quadrant of
new developed property. Hence, the only source for drinking water is the surficial unconfined
aquifer which has limited quantities as well as undesirable physical characteristics. Filtration
systems have been installed on some individual wells to improve water quality and minimize
damage to household plumbing systems.
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VI.
Emerging health risks
Issue #13
-+ Positive HIV tests will have new test erformed which distin
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Staff trained for pre-test counseling. Smallpox vaccination planning and training underway.
~ Bioterrorism Update: Meetings have been held with NHCHD Smallpox Workgroup, NHC
Emergency Management, Allen O'Neal, Pat Melvin, and Dr Jan Rhyne to develop NHCHD's
Smallpox Vaccination Plan. The plan is due to NC DHHS/DPH on November 15.
~ West Nile Virus: As of October 21, NC has had two cases of WNV U.S. has had 3,231
cases and 176 deaths from WNV As of October 28, the U.S. count had risen to 3,391 cases
and 188 deaths.
~ Bioterrorism Update: Meetings with NHCHD Smallpox Vaccination Plan Workgroup
continue. The plan is due to NC DHHS/DPH on November 15. Regional consultants will train
seven NHCHD nurses on Smallpox vaccinations on November 20. Epi Info/HAN Training will be
held on November 13.
~ ACS Case: Animal Control Services seized 17 dogs (16 pitbulls and one terrier-mix) from
two houses in the Wilmington City area. Charges against four individuals were for animal
cruelty and raising dogs for the purpose of dog fighting. The case is set to be heard some time
next month.
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VII. Population growth & diversity ,
(Issue #2)
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VIII. Discontinued services picked up by Health Department
(Issue #9)
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IX. Staff Development & continuing education
(Issue # 14)
~ The Interim Lab Director presented a brief in-service to lab staff at the monthly lab meeting
on the acute HIV screening being done at the State Laboratory
~ Brunswick Nuclear Power Plant Emergency Response Exercise is taking place 11/19/02.
This Drill will not involve a scenario requiring a recommendation to give Klto the public.
~ Indoor Air Quality training: Jeff Suggs was selected by the National Environmental Health
Association (NEHA) as one of 30 participants nationwide to attend their Indoor Air Quality
training in Washington, DC Wed, Nov 20 - Fri, Nov 22. NEHA will cover all costs. Child Health,
Health Promotions and PHRST staff contributed to the development of his proposal. This is an
outstanding educational opportunity. We will see positive returns in the community as a result of
this collaborative effort by staff.
~ QS Users Group: Debbie Toth and Cindy Hewett will be out of the office attending a NC QS
Users Group meeting on Thursday, November 7,2003 in Chatham County.
~ Brunswick Nuclear Power Plant Emergency Response Exercise is taking place 11/19/02.
This Drill will not involve a scenario requiring a recommendation to give Klto the public.
~ Strengthening Supervisory Skills Training: NHCHD supervisors to attend training on
December 5-6, 2002 through Coastal AHEC.
~ Child Service Coordination: On 11/20, the Child Service Coordination team hosted a group
of staff from SEC - Early Intervention, the Developmental Evaluation Center, Child Development
Center, UCP Center, and NHC Preschool Program for training on the Infant Toddler and
Preschool eligibility process.
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X. Evaluation of services
(Issue #16)
~ ACS staff met, both by Solutions Team and general staff, to discuss the
organizational analysis suggestions sheet. Group comments were added to the form and
forwarded to Dave Rice for review.
~ The state Women and Children's Health review was conducted 11/12 - 11/15. The records
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audits were good and the state consultants were very complimentary of services and
documentation. Final reports will be forthcoming in 90 days.
-+ MCC Trans~ion: Transition changes continue for MCC. The latest information we have
received relates to the interpretation of "documentation" and the possible availability of
reimbursement for documentation. We will be awaiting word this week in anticipation of the end
of the month download.
-+ puality Enhancement: The Child Care Nursing Program had a visit from the Chapel Hill
Quality Enhancement Consultant, who would like for us to continue carrying out their grant
objectives with our part time temporary nurse. By the first of 2003, they will have a good idea as
to whether that program will be federally funded for another 3 years. If so, we could plan to hire
a full time nurse again (to fill Charlotte Rollin's vacant position, which has been on hold).
-+ Medicaid Cost Analysis Update: Per Carol Chandler, (Question came from Family Planning
regarding Medicaid and Non-Medicaid numbers)if medicaid and non-medicaid numbers cannot
be separated, just indicate Medicaid numbers.
-+ New Program Codes: For Neurology and Orthopedic Clinics we will need to complete form
requesting State to open "OS" (other services) program code to replace "GB" (Generic Billing
Code). New program codes will be effective January 1, 2003. ' .
-+ WCH Audit: For upcoming WCH audit, Penny Lewis will need 5 charts from each program
being audited to review financial processes. Charts pulled should have been active within audit
period (with financial activity occuring during audit period).
-+ Organizational Analysis 1 Strategic Planning: The Strategic Planning Retreat was held on
Saturday, October 26. Information regarding the NHCHD Organizational Analysis can be found
at: My Computer 1 H: Drive 1 Department 1 Health 1 Organizational Analysis. Dave Rice asked
the Management Team to submit suggestions regarding the Organizational Analysis
recommendations. He also asked for possible names for the Transition Team. In addition, Dave
will meet with the NCIPH Team to discuss possible assistance with the transition.
-+ MCC Reimbursement Change: We received notification yesterday that the MCC
reimbursement rates changed, effective immediately The rate went from a $12 reimbursement
unit to a $29.30 reimbursement unit. Although this will, once again, change the way the MCC
staff does business, the overall picture is improved. The MCC staff is to be commended for their
dedication and resilience through the many transitions in this program!
-+ Immunization Assessment: The Age-appropiate Immunization Assessment (compliance
rate) will be run November 25. All programs providing services to children are asked to update
immunization information to be entered prior to download of data. The compliance rate includes
children receiving health department services, whether they receive immunizations here or not.
-+ Organizational Analysis 1 Strategic Planning: Dave Rice met with the NCIPH Team on
October 31 The meeting focused on possible next steps and ways that the NCIPH could assist
NHCHD with the implementation of the recommendations. Training in the areas of basic
supervision/team leadership, effective meetings, and coaching were discussed. During the next
couple of months, the Health Director will meet with various people to discuss suggestions for
improving NHCHD. While a transition team is important, it will not be the first step in
implementation. Work groups will be established to address the recommendations. "Low
Hanging Fru~" will be identified and processed. Some examples of processed "Low Hanging
Fruit":
-+ On November 6, the NHCBH will vote to discontinue the practice of Board assistance in
developing program budgets.
-+ Effective December 31, 2002, the "Uniform Allowance" will be eliminated. Animal Control
Officers will continue to receive an allowance. The savings will be used to purchase shirts for all
NHCHD staff and to assist with the implementation of the OA recommendations.
-+ All Staff responsible for newsletters/updates will meet with Elisabeth Constandy to develop a
Departmental newsletter.
-+ In addition, The Management Team is considering "procedural norms for meetings" to
become more effective. Informational and procedural items will be submitted to the Health
Director no later that 2:00 Dm the workin!l day before the Manaoement Team meets. At that
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point, the Health Director will determine if a meeting is necessary. Training in effective meetings
will be scheduled. Once training has been conducted, meetings throughout the Health
Department will be expected to develop "procedural norms." A good resource is The Team
Handbook by Peter Scholtes.
~ Several Staff have been trained in project management through the Management Academy
for Public Health. Project management will be a helpful tool in processing the recommendations
through work groups. Stay tuned to the "New" New Hanover County Heal,th Department.
~ Management Team: Based on the Organizational Analyse the purpose and role of the
Management Team is changing to a department policy-making and leadership group. Its
meeting format has changed to reflect the agenda found on page 4-7 of The Team Handbook.
~ Dress Code: The Policy Team (Betty Jo McCorkle, Dianne Harvell, Frances DeVane and
Diane Vosnock) will work with a Dress Code Work Group. Members will be determined at the
next Management Team meeting.
~ NHCHD Website: The NHCHD Website had 693 visits in 'October Our top six (6) web
pages were:Animal Control Services (225), Department Information (190), Environmental Health
(121),
~ Department Services (86), Board of Health (85), and Community Health (82).
~ Dress Code Work Group: Has been established to work with our Policy Team. Members
are: Beverly Bass, LeeAnn Cook, Lu Cox, Delisa Derseraux, Susan Diamond, Ricky Gibbs,
Kim Hansley, Ellen Harrison, Joyce Hatem, Cindy Hewett, and Pat Johnson.
~ Records Retention: If you are responsible for Records Retention (administrative, financial,
client and medical records, etc.), please review the Records Retention information at the
website below. We have received a memo from DHHS regarding Records Retention and
Dispostion Schedule, stating we are subject to both the DHHS Retention and Disposition
, Schedule and the Cultural Resources schedules. www.dhhs.state.nc.us/controV
~ Purchasing Practices: Memo to Department Heads from Finance Director, Bruce Shell,
regarding "Purchase Practices" has been forwarded bye-mail to all Health employees. Please
read and make sure your are in compliance.
~ Quality Control: The laboratory has revised the quality control procedure for the Autoclave
by incorporating the Attest Biological Monitoring System for Steam Sterilization which will ensure
adequate sterilization of laboratory reagents and supplies, Environmental Health Division
supplies, and medical instruments from the nursing divisions.
~ Safety Measure: As a continuing safety measure and to meet OSHA standards, the eye
wash stations and drench hoses located in the laboratory and in the x-ray developing room are
checked weekly for proper function and cleanliness.
~ HIPAA: Note: HIPAA Committee is meeting today at 2pm- if there is anything to report or
bring to Mgmt Team- will send this to you immediately following our meeting.
~ WIC Vendors: Seven WIC vendors monitored; five had deficiencies (insufficient inventory,
expired foods, improper transaction of WIC checks. A WIC vendor attended WIC Vendor
Training on November 21, 2001 and can now accept WIC vouchers again.
~ Jail Medical Program: Risk assessment of Jail Medical Program completed by county's
insurance company.
~ Strategic Planning Updates: Will continue to be submitted on the 2nd Tuesday of each
month. Updates will continue until the Strategic Planning Retreat is held (January or February
2003).
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