02/14/1996
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Dr. Dennis Jackson, Chairman, called the regular business meeting of the New Hanover
County Board of Health (NHCBH) to order at 8:00 a.m. on Wednesday, February 14,
1996, in the Carl Thomas Durham Auditorium, New Hanover County Health Department,
Wilmington, North Carolina.
Members Present:
Dennis L. Jackson, DVM, Chairman
W. Keith Elmore, RPH, Vice-Chairman
Mary Lou Alford, RN
Thomas V. Clancy, MD
John M. Coble
Mary King Dean
Michael E. Goins, OD
Spiro J. Macris, DDS
Mark A. Veenstra, PE
Estelle G. Whitted, RN
Members Absent:
Robert G. Greer
Others Present:
Robert S. (Bob) Parker, Health Director
Frances F. De Vane, Recording Secretary
Invocation:
" Mrs. Dean gave the invocation.
Minutes:
Dr. Jackson called for corrections to the minutes of January 3, 1996. The minutes were
approved.
Recognitions:
Dr. Jackson requested for Mr. Parker to make the staff recognitions.
New Emplovees
Mr. Parker welcomed and recognized the following new health department employees:
Lisa M. Metts, Animal Control Officer, Animal Control
Ellen A. Harrison, Public Health Nurse, Community Health
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Mr. Parker commended the following employees for their years of service in the New
Hanover County Health Department:
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Service Awards
Five Year Service Award
Laetitia D. Day, Clerical Specialist, Community Health
Ten Year Service Awards
Sue Louise Brooks, Community Health Assistant, Women's Health Care
Dorothy J. Colson, Community Health Assistant, Women's Health Care
Fifteen Year Service Award
Mamie Nixon-Carlos, Medical Office Assistant, Child Health
Super Staff Winner (Julv - December 1995)
Mr. Parker recognized and congratulated Ms. Frances Chandler, Clerical Specialist, I
Communicable Disease, recipient of the Super Staff Semi-Annual Award for July -
December 1995. Ms. Chandler was commended for designing and making the creative
liOn Guard for Health, Health Fair" wall banner displaying the health department seal.
Dr. Jackson thanked the above employees for their years of service and congratulated Ms. ~
Frances Chandler, Super Staff Award winner.
Department Focal:
What A Gift - Thomas Craven. Jr.. M.D.
Mrs. Betty Creech, Community Health Director, presented the department focal, What a
Gift, commending Thomas Craven, Jr., M.D. for his 30 years of service to the NHCHD
Orthopedic Clinic. In 1963, Dr. Craven began rendering his medical services to the
Orthopedic Clinic with no reimbursement for services. Mr. Parker displayed a plaque
given in December 1995 to Dr. Craven, receipt of the Leo Croahan Conference
Award for OutstandinQ Achievement sponsored by the North Carolina Department of
Environment, Health and Natural Resources and North Carolina Department of Human
Resources. Mrs. Creech nominated Dr. Craven for this prestigious award.
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News Series on Germs
Mrs. Beth Jones, Communicable Disease Director, presented a video summarizing the
WECT-TV News Series entitled, World of Germs. Mrs. Jones recognized Bryan Moore,
WECT-TV reporter, who developed this three-part series on germs and controlling germs
shown in October 1995 on Channel 6 News. Mr. Moore stated there was great media
response to this health issue series on germs. Mrs. Jones was featured with other health
professionals in the World of Germs series promoting a healthier community.
Committee Reports:
Executive Committee
Dr. Jackson advised that the Executive Committee met at 6:00 P.M. on February 8, 1996,
to review the Fiscal Year 1996-97 Health Department Budget and other items are on the
Board of Health Agenda under Unfinished Business and New Business.
The Executive Committee tabled the nursing home issue being researched by the Board
of Health until legislation is passed to create a separate ombudsman position for New
Hanover County nursing home residents.
Board of Health Minutes
Dr. Jackson requested for the Board of Health minutes to document motions by indicating
a vote as unanimously carried, or indicating the number of persons voting aye or nay.
The following documentation procedure is to be instituted in the preparation of Board
minutes:
Upon vote, the MOTION CARRIED UNANIMOUSLY
Upon vote, the MOTION CARRIED AS FOLLOWS:
.1L Voting Aye
.1L Voting Nay
Also, Dr. Jackson asked for the Board of He~lth minutes to be more specific. The
Parenting Class issue in the minutes of June 7, 1995, were reviewed and the Executive
Committee could not determine anything except the motion failed. On any motion, Dr.
Jackson would like the primary support for and against said motion stated.
Community PlanninQ Committee
Mrs. Alford, Chairman, Community Planning Committee, announced that the Community
Planning Committee met at 6:00 p.m. on February 8, 1996, to review the Community
Diagnosis. Health issues were discussed and health problems and proposed interventions
were prioritized. Health Education and Promotion, Including Lifestyles Issues is
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Priority 1 of the Community Diagnosis document.
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Mrs. Alford presented the final draft of the Community Diagnosis for the Board of Health's
endorsement. She stated that funding is needed for a Health Educator and materials for
exercise and skin cancer campaigns.
Mrs. Dean stated that the statistical information provided to the Community Planning
Committee was beneficial in the Community Diagnosis preparation and made the
Community Diagnosis process easier.
Lynda F. Smith, Assistant Health Director, explained that after the Board's endorsement
of the Community Diagnosis, the final Community Diagnosis document will include a
Community Profile, and will be sent to the State Department of Environment, Health and
Natural Resources. A Community Diagnosis is completed biannually.
Ms. Smith reminded the Board that the Community Diagnosis interventions include
positions and items not requested in the NHCHD FY 1996-97 Budget. Dr. Clancy
expressed that in order to implement the Community Diagnosis, the Board should
endorse the funding for the required positions. Mr. Parker explained that revenues to
support these items must be appropriated by grants andlor county appropriations.
MOTION: Mrs. Alford moved from the Community Planning to endorse the approval of I
the 1996 Community Diagnosis document. Upon vote, the MOTION CARRIED
UNANIMOUSLY.
Unfinished Business:
Animal Control License TaQ (Tax) - Update
Dr. Jackson reported that the Board's request to change the Animal Control License Fee
(Privilege Tax) to an Animal Control Administrative Fee was endorsed by the New
Hanover County Commissioners on December 18, 1995, to allow a license charge
collected on a multi-year basis instead"of an annual basis.
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Dr. Jackson explained that Mr. Parker was advised by Mr. Kemp B. Burpeau, Assistant
County Attorney, that state legislation is not necessary to change the Animal Control
License Fee (Privilege Tax) to an administrative fee. Upon the Institute of Government's
new evaluation, the Board of Health may consider a County Code change to allow an
Animal Control License Fee to be collected on a multi-year basis. Dr. Jackson referred
this issue to the Animal Control Advisory Committee for their recommendation and then
it is to be referred back to the Board of Health for their consideration.
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Animal Control Services Advisory Committee Appointments
Dr. Jackson presented the following list of applicants to serve on the Animal Control
Services Advisory Committee:
Azalea Dog Training Club Representative - Mrs. Lila Smith
New Hanover Humane Society Representative - Mrs. Joyce Bradley
Hanover Kennel Club Representative - Mr. Russell Fawcett
Hunter Representative - Mr. Robert Way
Dr. Jackson asked for nominations from the floor. There were no other nominations from
the floor to serve on the NHCHD Animal Control Services Advisory Committee.
MOTION: Dr. Jackson, Chairman, Executive Committee, moved from the Executive
Committee to approve the appointments of the above applicants to serve on the Animal
Control Services Advisory Committee effective January 1, 1996 for a term of two years.
Upon vote, the MOTION CARRIED UNANIMOUSLY.
Mr. Parker advised the Board that nominations for the Animal Control Services Advisory
Committee appointments were advertised in local newspapers.
Appreciation to Animal Control Services Advisory Committee
Dr. Goins recommended that letters of appreciation be sent to Animal Control Services
Advisory Committee Members for their dedicated service to the community.
New Business:
BudQet Recommendation from Executive Committee
Dr. Jackson presented the NHCHD 1996-97 Fiscal Year Budget Request to the Board.
He reported that the Executive Board met and is recommending the Budget Request with
the following exceptions/deletions:
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NEW POSITION
1 Public Health Educator, Health Education
$ 24,523
CAPITAL REQUESTS
Vector Control
Animal Control
Animal Control
New Case 9030B Longreach
30 kw Generator
Horse/Stock Trailer
$145,842
20,000
5,600
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Dr. Clancy stated that due to the need for a Public Health Educator as indicated in the
Community Diagnosis document, he proposes to add or reinstate this position in the
budget request.
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MOTION: Dr. Clancy moved to reinstate the Public Health Educator position in the
NHCHD FY 1996-97 Budget Request. Upon vote, the MOTION CARRIED
UNANIMOUSL Y.
MOTION: Dr. Goins moved for the Board to approve the NHCHD FY 1996-97 Budget
Request with the Capital Requests exceptions as listed above to be submitted to the
New Hanover County Budget Office on February 15, 1996. Upon vote, the MOTION
CARRIED UNANIMOUSLY.
Membership in National Association of Local Boards of Health $75.00
Dr. Jackson presented an invitation for membership in the National Association of Local
Boards of Health to the Board. Annual membership dues are $75.00.
MOTION: Mr. Coble moved for the New Hanover County Board of Health to join the
National Association of Local Boards of Health and pay the annual membership fee of
$75.00. Upon vote, the MOTION CARRIED UNANIMOUSLY.
Peñormance Evaluation - Robert S. Parker. Health Director
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Dr. Dennis Jackson requested that Board members complete and return to him their
performance appraisal evaluations on Mr. Parker, Health Director. The performance
appraisal evaluation forms are to be reviewed by the Executive Committee at their next
meeting.
Parentina Education Classes
Dr. Jackson recommended from the Executive Committee to establish Parenting Education
Classes to be staffed by health department personnel.
Mrs. Janet McCumbee, Child Health Director, explained last summer the application for
grant money to implement these parenting classes was not approved by the Board of
Health. The proposed classes will be staffed by Child Health, Women, Infants and
Children, Women's Health Care, and Health Promotions Divisions. The series of six
classes will cost $92.38 and will be reimbursed by Medicaid and a sliding fee scale will
be applied for non Medicaid patients.
Mrs. Dean inquired whether the staff has the time to implement this series of six Parenting I
Education Classes. Mrs. McCumbee stated that the health department staff is prepared
to provide the parenting classes and evaluation of the classes is to be by pre and post
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tests.
MOTION: Dr. Jackson, Chairman, moved from the Executive Committee for the NHCHD
staff to provide the proposed Parenting Education Classes, to bill Medicaid, to evaluate
the parenting classes in one year, and to document the benefits of the Parenting Education
Classes. Upon vote, the MOTION CARRIED UNANIMOUSLY.
Comments:
Board of Health Members
Budaet
Dr. Clancy inquired about the Budget Committee meeting, size of committee, logistics, and
goals of the Budget Committee.
Dr. Jackson requested that the Budget Committee meet immediately following today's
Board of Health meeting.
Association of North Carolina Boards of Health Annual MeetinQ
Mr. Coble announced that he attended the Association of North Carolina Boards of Health
Annual Meeting on January 19, 1996, in Raleigh, North Carolina, and was elected to a
three-year term on the Board.
Smart Start
Mr. Coble informed the Board that the Smart Start issue was discussed at the Executive
Committee meeting.
Dr. Jackson explained that Mr. Parker received a phone call from Mr. Royce Angel,
University of North Carolina at Wilmington, seeking advice relative to needs that would
help the health department using funding from the Smart Start Program. Mr. Parker called
Dr. Jackson to comply with the Board of Health's wishes regarding communicating with
Mr. Angel on this issue.
Mr. Parker informed the Board that Smart Start currently has funding of $100,000 to be
expended by June 30, 1996, to benefit preschool children in our community. Mr. Angel
requested our ideas on how these funds could be spent. Dr. Jackson gave Mr. Parker the
approval to discuss this issue with Mr. Angel.
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Dr. Clancy stated that the Board of Health did not endorse the Smart Start Program last
summer, since there seemed to be no plan for the program and the expenditure of
designated funding. It would be most beneficial to have a copy of the plans and know the
purposes and intentions of the Smart Start Program in the community. Dr. Clancy
advised the Board that he was delighted that Mr. Angel had asked Mr. Parker for his ideas
regarding this issue.
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Mrs. Janet McCumbee, Child Health Director, stated that the current expenditure of
$100,000 grant planning monies could be spent on direct services for preschool children.
She advised the Board that there are draft plans for the expenditure of the proposed
$1,000,000 Smart Start appropriation.
Again, Dr. Clancy reiterated that there should be a plan for the Smart Start Program. He
inquired if the Community Diagnosis Priorities could be applicable to the Smart Start
Program. Mr. Parker explained that the Smart Start Program is directed to assist
preschool children through educational, medical, and nutritional services and that the
Community Diagnosis is not specifically directed toward children.
Public Health Study Commission TV Panel
Mr. Veenstra and Mrs. Whitted commended Mr. Parker for his participation on the Public I
Health Study Commission television panel addressing Public Health issues.
Health Forum Sponsored by Eva M. Clayton. Member of ConQress
Mrs. Dean thanked Mr. Parker for his expertise and participation on the Health Care
Forum on Saturday, January 13, 1996 at UNC-W.
Community DiaQnosis
Dr. Jackson commended Mrs. Alford, Chairman, and the Community Planning Committee,
and Ms. Lynda F. Smith, Assistant Health Director, for their successful completion of the
Community Diagnosis document.
Table ArranQement for Board of Health MeetinQs in Carl Thomas Durham Auditorium
Dr. Jackson requested that the tables for Board of Health members be arranged for Board
meetings so that Board members face the audience.
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Health Director:
Reports
Mr. Parker gave the Board copies of the following:
~ Article - "Prospects for the Future of North Carolina's Public Health Svstem"
~ General Clinic Schedule - Furnished to Citizens
~ Health Department Divisional Board of Health Budget Committee Assignments
from Mrs. Dean, Chairperson, Budget Committee
Adjournment:
There being no further business, the regular meeting of the Board of Health was
adjourned at 10:40 a.m. A Budget Committee meeting is planned immediately following
the Board meeting. Ç)~-.Æ
Dennis L. Jackson, Chairman
New Hanover County Board of Health
()JL& W~
Robert S. (Bob) Parker, Health Director
New Hanover County Health Department
Approved: