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10/05/1983 .00958 _..... The New Hanover County Board of Health met on Wednesday, October 5, 1983 at the New Hanover County Health Department. Nembers Present: - Carl Durham, Chairman Larry Neal, D. D. 5., Vice Chmn. 'l'ed Bagley Donald Blake Jean Credle J. William Eakins, M. D. William Grathwol James Strickland Hobart Whaley Members Absent: None Others Present: Robert S. Parker, Secretary to the Board Ken Silliman, County Attorney Ron Clitherow, Exec. Vice President, N.C. Association for Home Care Dr. Phillio Smith, President, Horne Health Advisory Board Dr. R. E. Barden, Mew~er, Home Health Advisory Board Jeff Weiser, M~mber, Home Health Advisory Board ,Johr. Bullock, Member, Horne Health Advisory Board Cam 11cAbee r Human SErvices Program l"1.nalyst Allen H8zirl!;c, IntE-rnal Auditcr Mabel Pric0, Reccrding Secretary ~. . H!.". Dllrham. Chairw.an, call~d the meeting to order at R~OO II. 11. !'-!r. DUl'twrE read d resc.lutic:n in ffiGffiory of Dr. Joseph C. Knox who served a~: HCdlth Di:cectr,y for the :N(-::~.l Hanover County Health Department from 1968 to lq76 t-lr. Blake moved tha.t the resolution be adopted. Mr. Whaley seconded the pJIJ-Ticn and it carrie::} unCl.nlI'i1ousJy. Copies of the resolution will he sent to members of O:t.-. Kr.oJ~' s family. A cop: is also attached to these minutes. Mr. Durham called for corrections to :r.loved th.J.t the minutes be approved. unanimoL1sly. the September 7, 1983 minutes. Mr. Whaley Mr. Grathwol seconded t!le motion and .i t cdrri.eu Sharon Nault, Health EdlJcator I gave Count-.y Health Departn;ent - the Best by a stujent Heolth Educator during a slide presentation entitled, uNe\o: HdnC~~'Gr ()f Everything". This program had been pre,!?arGd the summer of 1983. Tom Stich, Sdnitarian, was recognized for the "North Carolina Rookie San~tarian of the Ye~~r" award he was given at the annual NCPHA meeting in Raleigh. Storm Wate:r- Management Committee Report: Dr. Eakins told the Board that as a follow- up to the recommendation made by Mr. Felix Cooper, County Manager, a work session was held with the County Commissioners and representatives from various county depart- ments. He statp.d that some problems were discussed at this meeting that will not be sol'led until the drainage program is started. Dr. Eakins reported that this group suggested that the Storm ~ater Management Specialist also be an Engineer. Concern -..- was expressed by members of the board that this person should be a "working" enqineer and should take care of all drainage complaints. Dr. Eakins asked Mr. Parker and rngs!ll ",;\o..i ......~ -2- the County Manager's office to review the job description. Dr. Eakins moved that the Board of Health adopt the Proposal for starting a New Hanover County Storm Water Management Program as outlined. Dr. Neal seconded the motion. After discussion by the Board of Health, Dr. Eakins amended his motion to include in paragraph 0, "This Committee shall be appointed by the Chairman of the Board of Health", and to the composition of the Board; "l. Representative from Pleasure Island area 2. Repre- sentative from Wrightsville Beach, both of whom have storm water drainage experience". Dr. Neal seconded the amendment. The motion and amendment carried unanimously. It was suggested that funding be requested to begin this program by January 1, 1984. Mr. Durham asked Mr. Parker to get the proposal and job description in form for the County Commissioners and that each Board of Health member be mailed a copy. - '; - Fee Committee: Dr. Neal reported that Etra Wood from the Division of Health Services had not been able to come for the meeting which was scheduled for October 3, 1983 but that the meeting would be rescheduled just as soon as possible. He said he would not have a report until after this meeting. Long Range Planning Committee: Mr. Bagley asked if this Committee should be concerned with a long range plan for the Board of Health or the Health Department. He told the Board that the Health Department has a Comprehensive Health Plan that is very extensive. Mr. Bagley listed some things that he felt could be long range plans for the Board of Health. The Board agreed that Mr. Parker should do the long range plan for the depart- ment and the Committee should proceed with long range plans for the Board of Health. Scott P.udisi 11 Property Report: Hike Rhodes, EnviroLrnental Health Director I reported that modification letters had been mal led to Mr. Rudisill outlining the modifications that would be required to put septlc tanks on the property. He stated tha't the modifi- cations had not been made at this time. -'\ Home Health Program Recommendations: Mr. Parker xeported that positive chang8s were heing made to imprcve the Home Health Progra~m: f - 1. Answering Service has been updated to 24 hour coverage 2. Mr. Ron Clitherow, Executive Vice Preside~t of N. C. Association for Home Care, has spent two hour~ with the Home Health Staff and Dr. Phillip Smith, President of the Home Health Advisory Board. Mr. Clitherow had also spent time with others in the community with interests in Home Health Care. 3. Policy Statement on Home Health prepared Mr. Parker gave copies of the Policy statement to the Board. The statement is as follows: The New Hanover County Board of Health wishes our Home Health Program to be a totally comprehensive program offering full services including: 1. Skilled Nursing 2. Aide 3. Physical Therapy 4. Speech Therapy 5. Occupational Therapy 6. Social Work 7. Nutrition 8. Durable Medical Equipment 9. Medical supplies ~ Our Home Health program should also attempt to be as self sUPDortino as possible by ensuring that charges to all payors are at least equal to cost. I - -3- nOg)'[]] """'.". While being self supporting, we expect Health Department management to ensure maximum cost efficiency of operation. ...... Our program will continue in its performance of providing Home Health services to patients regardless of their ability to pay. After discussion of the policy, l'lr. Bagley moved the policy be adopted by the Board of Health. Mrs. Credle seconded the motion and it carried unanimously. A copy of the policy will be sent to the County Commissioners with a letter point- ing out the budgetary implementation. Committee Appointments: Mr. Durham appointed the following people to committees: Mrs. Credle - Fee Committee Sharon Mault Education Co~~ittee Bobby Waters - Emergency Committee Resignation of Animal Control Director: Mr. Parker reported that Charles Newkirk, Animal Control Director, had resigned to go into private business~ Dr. Neal said the Animal Cont.rol Advisory Board \vould like to have input in hiring a new Director. Mr. Forker reported that Property Maintenance is proceeding with renovating the building to be used for office space. He also told the Board that the Animal Control Officers had picked up a ba.t and sent it off for exarnination. The bat had rabies. Ad~itj~nal Funding-: Mr. Parker told the board that additior.al State fundlng had been receiv€,d for use in tl1c 'l'ub:::::rl;ulosis Control program, Safe Dri:.lking Witter Program, Aide to Count ies CLna FdI11.ily Plallninq. ...... NCPH.A Meeting: Er. Pal';(er thanken Mr _ Durha!'!.'l and Mr. Whaley for atte~dins the Recep- ti()n f0-:'~ Board He,nb~Jr:-s at t.he NCPHA. He also said thdt in 3.ddition to 'rem Stich rF::ceivi.ng his award at HCPHA, that Hc.,-:yanna vlomble was on a panel tor MCH and Mike Rhndes, Sh2ron Hault Donna Shi';ely and Charl es Jones all introduced speakers. He said the staff reprE..'sented tb:; Departnent in an excellent manr.~r.. Corr:posi tion of Board of Health Chanqed: 1'1r. :?arker reported that. a veterinarian and an opto!1et.rist would be added to the Board and that five public spirited (::itizcns wou1.rj be C:Jt to four. 'l'"he-re being no further business, Mr.. Whaley r:1oved the meeting be adjourned.. t.1r. Strickla~d seconded the motion and the meeting was adjourned at 10:05 A.. M. Respectfully subrr.itted, C~)'-//~ Cha::.~iman, Board of Health ~A-()~ Secr8tary to the Board Date Approved: 7(",-. ;L /9-".5' ~ RESOLUTION in MEMORY OF DR. JOSEPH C. KNOX NEW HANOVER COUNTY HEALTH DIRECTOR 1968-1976 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * The New Hanover County Board of Health hereby adopts the following resolution in memory of the services rendered by Dr. Joseph C. Knox to the citizens of New Hanover County through his contributions to the New Hanover County Health Department. W HER E A S 1. Dr. Knox was appointed to the New Hanover County Board of Health on August 18, 1948 and served until October 31, 1968, at which time he was appointed to serve as Health Director of the New Hanover County Health Department where he served as Director from November 1, 1968 until July 15, 1976; and whereas 2. Under Dr. Knox's leadership as Health Director in New Hanover County a cooperative relationship developed between the Univer- sity of North Carolina, Chapel Hill, and the local Health Depart- ment in which extensive community diagnosis projects were under- taken; and whereas 3. While serving as Health Director, Dr. Knox welcomed UNC, Chapel Hill undergraduate and graduate students for clinical experience and was willing to share knowledge with them; and whereas 4. As Health Director, Dr. Knox employed the first Family Nurse Practitioner in a Health Department in North Carolina and served as her pediatric backup; and whereas -2- 5. Under the leadership of Dr. Knox, a new Health Department building was completed and staff moved into the new building on December 3, 1974; and whereas 6. In 1976, Dr. Knox was chosen as "Health Director of the Year" at the North Carolina Association of County Commissioner's meeting in Pinehurst; and whereas 7. Dr. Knox devoted forty-eight years to Preventive Medicine NOW THEREFORE, BE IT RESOLVED that the New Hanover County Board of Health does hereby sincerely honor and remember Dr. Joseph C. Knox for his unselfish and devoted service to the New Hanover County Board of Health, the New Hanover County Health Department and the citizens of New Hanover County; and BE IT FURTHER RESOLVED that a copy of this resolution be presented to the family of Dr. Joseph C. Knox. IN WITNESS WHEREOF, the New Hanover County Board of Health has caused this resolution to be adopted in its behalf through its Chairman, Carl T. Durham, and attested by its Secretary, and its corporate seal to be hereto affixed, this 5th day of October, 1983, and by authority duly given. NEW HANOVER COUNTY BOARD OF HEALTH ,,(2/ J/k<,,(.,'f (CORPORATE SEAL) ATTEST: ~~~ ~P~L Secretary