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08/05/1992 BOH Minutes I I I 179 Dr. Goins called the regular business meeting of the New Hanover County Board of Health (NHCBH) to order at 8: 00 A.M. on Wednesday, August 5, 1992, in the New Hanover County Health Department (NHCHD) Auditorium, Wilmington, North Carolina. Members Present: Michael Goins, OD, Chairman John Coble, Vice Chairman Mary Lou Alford, RN Mary King Dean W. Keith Elmore, RPh Bobby Greer W. Leslie Hall, Jr., PE John Leonard, DVM Spiro Macris, DDS Sheram Robinson Alan E. Thomas, MD Members Absent: Others Present: Robert S. (Bob) Parker, Health Director Frances F. De Vane, Recording Secretary Mr. Coble presented the invocation. Dr. Goins called corrections to the minutes of the meeting on July 1, 1992. July minutes were approved. for The Recognition: 100\ Smokefree Establishments/Organizations Dr. Goins announced that New Hanover County 100% Establishment Certificates will be awarded to 50 establishments/organizations. Amy Clapp, Health Intern, East Carolina University, was recognized identification of these smokefree establishments. Smokefree smokefree Education for the W. Leslie Hall, PE, Board Member, Recognized On behalf of the Board of Health, Dr. Goins presented a plaque to Mr. Hall commemorating his service on the Board of Health from January 1991 through August 1992. Dr. Goins thanked and commended Mr. Hall for his dedication and service to Public Health. Department Focal: Mr. Jim Roosen, Environmental Health Specialist, presented the department focal on the Swimming Pool Program of the Environmental Heal th Division of the heal th department. Dr. Leonard requested that Mr. Roosen prepare a list of swimming pool requirements for the Environmental Health Committee's review. 180 Committee Reports: Executive Committee I Restructuring of Health Department Services and Staff Dr. Goins, Chairman, Executive Committee, reported that the Executive Committee met at 7:00 P.M. on Monday, August 3, 1992, to consider the restructuring of health department services and staff. Due to the ten percent (10%) operational cut in the FY92-93 Budget, the Executive Committee reviewed the recommendations from Mr. Parker and the Management Team for reallocation of staff and the reduction of public health services~ Elimination of Vector Control Technician Position Dr. Goins stated the Executive Committee discussed the dire need for a permanent switchboard operator in the health department. The committee recommended the elimination of the Vector Control Technician position in order to secure funds for a switchboard operator. The loss of the Vector Control Technician will eliminate rodent control services in New Hanover County including the City of Wilmington and the Town of Wrightsville Beach. Mr. Parker stated this service can be provided by the county municipalities. After discussion Dr. Goins moved that the Board approve the recommendation for the elimination of the Vector Control Technician position and the transfer of funds to the Administrative Division of NHCHD to secure a Switchboard Operator. Upon vote, the MOTION CARRIED. Epidemiology/Adult Health Program Restructuring I Dr. Goins presented to the Board of Health the prioritized Epidemiology/Adult Health Program restructuring recommendations. They are as follows: 1. Terminate Cancer Screening Clinic. 2. Eliminate Adult Health Promotion and Early Detection activities in the community. 3. Transfer Hypertension acti vi ties into the Community Health Division. 4. Eliminate the name Adult Health in the Epi/Adult Health Division. The loss of state revenues to the county is projected at $9,783. I The Hypertension state funds will be transferred to the Community Health Division. Hypertension activities will be integrated into I I I 181 Community Health services. Cancer Screening patients will be referred to Rankin Terrace Clinic and private doctors. Dr. Goins moved from Executive Committee that the above EPI/Adult Health restructuring recommendations be approved as presented for submission to county officials for their consideration. Upon vote, the MOTION CARRIED. Communi.ty Planning Committee Mr. Hall, Chairman, Community Planning Committee, reported that the Community Planning Committee met at 7: 30 A.M. on July 22, 1992 in the library of the health department. The topics were: The Process for the Community Diagnosis for 1994, The Top Three Objectives of the Year 2000 Health Objectives Committee and The Proposed Combining of the Board of Health Community Planning and Health Promotions Committees. The three objectives of the Year 2000 Committee are Sexually Transmitted Diseases, Maternal and Infant Health and Substance Abuse. Mr. Hall stated the Executive Committee decided not to combine the Community Planning and Health Promotions Committees. Because of the quantity and diversity of work of the two committees, the Executive Committee decided not to combine Community Planning and Health Promotions Committees. Unfinished Business: Motion Concerning Dispensing of Condoms Ms. Dean requested consideration of her motion regarding the health department's condom distribution policy. She presented this motion to the Board on July 1, 1992 for their review. After discussion Ms. Dean moved for the Board to approve that the County Health Director be directed to consult with the County Attorney on the issue of dispensing condoms to determine the adequacy of the warning given donees of condoms at the time of or before the gift, and that the County Health Director report the results of such consultation and recommendation of the County Attorney and the County Health Director with respect to such warnings by September 15, 1992. Upon vote, the MOTION CARRIED. Women's Health Section Sliding Fee Scale Mr. Parker presented the FY92-93 Women's Health Section Sliding Fee Scale to the Board for their approval. These rates are retroactive to July 1, 1992. Dr. Goins moved that the Board of Health approve the FY92-93 Women's Health Section Sliding Fee Scale for usage in the Family Planning Program retroactive to July 1, 1992. Upon vote, the MOTION CARRIED. 182 Approval of Home Health Charges I Mr. Parker presented the FY92-93 North Carolina Medicaid rates. They are as follows: Physical Therapy Occupational Therapy Speech Therapy Skilled Nursing RN Skilled Nursing LPN Home Health Aide $72.00 $72.00 $72.00 $73.00 $73.00 $40.50 Dr. Goins moved that the Board approve the above increased Medicaid Home Health rates effective July 1, 1992. Upon vote, the MOTION CARRIED. Request for Two New Public Health Nurse II Positions - Home Health Mr. Parker presented a request from Ms. Karen Hogan, Home Health Director, for two new permanent Public Health Nurse II positions to replace contract nursing positions. The appropriation of these two positions would make the registered nurse caseloads manageable and ensure the consistent availability of skilled qualified nurses. After discussion, Mr. Hall moved that the Board approve the I request for two new permanent Public Health Nurse II positions in the Home Health Program. Upon vote, the MOTION CARRIED. Comments: Board Members Dr. Thomas informed the Board of a statement issued by the Environmental Protection Agency that passive smoke causes cancer. Ms. Dean expressed that she prefers for the Board of Health to meet in the Auditorium instead of the Library. Health Director Mr. Parker stated that the Environmental Health Secretarial position was approved. Permits are being issued for Class IV and V septic systems. The Environmental Health Division will be open from 8:00 A.M. - 5:00 P.M. and will no longer close from 12:00 P.M. to 1:00 P.M. daily. Mr. Parker announced the first Norplant Clinic was held on July 14, 1992 in the Family Planning Clinic. The goal of the clinic is to reduce unwanted pregnancy. Ms. McCorkle stated the Norplant Clinic will be held on the 2nd and 4th Tuesdays of each I month. Ten patients can attend each clinic. I I I 183 The Dedication of the Health Department Auditorium to Carl Durham, will be held on Friday, October 9, 1992, 5:30 P.M. 8:30 P.M. This dedication and reception will coincide with the Leadership Conference sponsored by the Association of North Carolina Boards of Health (ANCBH). The reception will be sponsored by the New Hanover County Commissioners, ANCBH and General Electric. Board will Wednesday, Extension In lieu of the Board of Health meeting, the participate in a Waste Disposal Site Tour on September 2, 1992. Mr. Phil Ricks, Cooperative Director, will furnish this agenda. There being no further at 9:15 A.M. business, Dr. Goins adjourned the ¡uJ L[)J) meeting Dr. Michael E. Goins Chairman, Board of Health ~LP~ Robert S. (Bob) Parker Secretary to the Board Approved: ...,.