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10/06/2004 . Revenues Type of Revenue Federal & State e Fees Medicaid Medicaid Max EH Fee. Health Fee. Other New Hanover County Health Department Revenue and Expenditure Summaries for August 2004 Cumulative: 16.67% Month 2 of 12 Budgeted Amount Current Year Revenue Balance Earned Remalnln % Prior Year Revenue Balance Earned Remalnl" % Budgeted Amount 181,646 96,941 158,930 $ 1,599,244 $ 483,220 $ 979,109 463,661 91,147 81,637 $ 1,195,959 $ 479,014 $ 962,443 27.94% 15.99% 7.82% 259,203 $ Expenditures Current Year Prior Year Type of BUdgeted Expended Balance % Budgeted Expended Balance % . Expenditure Amount Amount Remaining Amount Amount Remaining Salary & Fringe $10,395,481 $1,194,772 $ 9,200,709 11.49% . $9,748,182 $1,185,987 $8,562,195 12.17% Operating $ 1.553,763 $ 175.585 $ 1,378,178 11.30% $ 1,377,535 $ 185,746 $1,191,789 13.48% Capital Outlay $ 179,750 $ $ 179,750 0.00% ; $ 57,614 $ 12,738 $ 44,876 22.11% . Summary Budgeted Actual % FY 04-05 FY 04-05 Expenditures: Salaries & Fringe $10,395,481 $1,194,772 Operating Expenses $1,553,763 $175,585 Capital Outlay $179,750 $0 Total Expenditures $12,128,994 $1,370,357 11.30% Revenue: $6,478,301 $702,393 10.84% Net County $$ $5,650,693 $667,964 11.82% Revenue and Expenditure Summary For the Month of August 2004 7 . . . NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 04-05 Date IBOH) Grant Reauested Pendinl'l Received Denied Office of the State Fire Mershal. NC Department of Insuranc8~ Risk Watch continuation funding 8/412004 (3years) $ 25,000 $ 25,000 NC Physical Activity and Nutrition Branch-Eat Smart Move More North Carolina $ 20,000 $ 20,000 . NC March of Dimes Community Grant program- 71712004 Smoking Cessation $ 50,000 $ 50,000 Wolfe.NCPHA Prenatal Grant. Diabetic Supplies for Prenatal Patients $ 5,000 $ 5,000 . 61212004 No activity to report for June 2004. Kate B. Reynolds Foundation- Transportable 5/512004 Dental Unn Grant $375,000 $375,000 Cape Fear Memorial FoundatJon- Dental Grant $185,000 $185,000 '/1fi.tPJ / Cape Fear Memorial Foundatlon- School Health ,.,()J() 41712004 Emergency Dental Services Grant $ 15,000 $ 15,000 Safe Kids Coalltlon- Govemo(s Hi9hway Safety Program. (Coalition Vehide Request) $ 16,000 $ 16,000 Safe Kids Coalltlon- Safe Kids Buckle Up 3/312004 Program- Child Safety Seat Grant $3,500 $3,500 2/412004 No acUvity to report for February 2004. Cape Fear Memorial Foundatlon- Funds needed to enhance health educatIon in 4 areas other than Diabetes 11712004 (an enhancement to DIabetes Today Grant). (living Well) $20,000 $18,500 $1,500 12/3/2003 No activity to report for December 2003. Cape Fear Memorial Foundation- Funds needed to cover dental services for needy children as identified by 11/512003 School Health Nurses. $3.000 $3.000 NC Medical Foundation - Through the Good Shephard Ministries for nursIng services to the population frequenting the shelter. $25,000 $25,000 Duke University- To provide 10 hours of nursing services for TB Outreach. $10,388 $10,700 -$312 NC Tobacco and Control Branch, DHHS- Continuation of Tobacco Prevention Program. $100,000 $64,093 $35,907 10/1/2003 No activity to report for October 2003. New Hanover County Safe Schools- Uniting for Youth "U4Youth"(funding will be received over a 3 91312003 year grant period) $49,000 $ 12,702 $36,298 Safe Kids Coalition- Fire Prevention (Please note this grant was pulled. coalition not able to meet deadline for request) $2 500 $2,500 8/6/2003 NC DHHS- OPH Preparedness and Response $82,350 $31,950 $50,400 Smart Start. Partnership for Children (Grant 71312003 Increase for Part Time Nurse Position) $5,523 $5,523 Cape Fear Memorial Foundation - Diabetes Today (two-year request; $42,740 annually) (Received $25,00 year 1 and $20,000 year 2) $85,480 $45,000 $40,480 Duke University Nicholas School of the Envlronment-Geographic Infannatlon Systems Grsnt (Env Health) $10,000 $10,000 Safe Kids Coalltion- Safe Kids Mobile Car Seat Check up Van $50,000 $50,000 Totals $1,137,741 $650,000 $224,445 $263,296 5713% 19.73% 23.14% pending Grants 5 24% Funded Total RAnuest 5 24% Partially Funded 5 24% Denied Total Request 6 29% Numbers of Grants Applied For 21 100% 8 As of 9/2012004 . NOTE: Notification received since last report. \ NEW HANOVER COUNTY BOARD OF COMMISSIONERS Request for Board Action Agenda:U I-Gonsent Meeting Date: 10/18/04 Agenda: /ZI Department: Health Presenter Cindy Hewett, Business Manager Contact: Cindy Hewett, Business Manager, ext 6680 Subject: Budget Amendment in the amount of$5,681 for Child Care Health Consultant Pro am Brief Summary' The New Hanover County Health Department has received approval from The University of North Carolina at Chapel Hill (grantor) to roll forward from FY03-04 into FY04-05 unspent funds in the amount of$5,681 These funds will be used to purchase a laptop and projector for the Child Care Consultant Nurse, with any remaining funds to be a lied toward the cost of travel re uired for this pro ram. Recommended Motion and Requested Actions: To approve the rollover of funds from FY 03-04 into FY 04-05and the associated budget amendment for the Child Care Health Consultant Program in the amount of$5,681 . [ Funding Source: The University of North Carolina at Chapel Hill Will above action result in: DNew Position Number ofPosition(s) Dposition(s) Modification or change /ZINo Change in Position(s) I Explanation: I Attachments: Budget Amendment . 9 'i '- 'E .l!! :; III e: 0 Co) .J:: - OJ CO I- w J: Z ~ l!! w '" :E ~ Co) Q :!2 Z :E W w Co) :E ~ <C I- z w W ~ 0 ~ C) Il'l Q ::::l 0 m z :> W ... 0 ::::l ~ . ~ Z ~ W > W I;; a: g~ :> '" i C) z ~8 :>- olE Ull. ~ !z~ Ww :;'" :>:; 0:> OZ 0 ~ z w '" ~ ~ 11 '" 0 ~ '" 0 ;! z '" 0 .,; ;::w ~ 00 ~ ~o . u: b zO z ~ 0 0 ...... CO I-~- <0 Zo~ .0 ~~ :2:z0 <C ",-0 + .. + 0 , OI--l-- WWZ (/)(!):J -00 fib::!; O::ID<( 1--1--1-- Zwz W(!):J 0::00 O:::J:iI! :JID Co) I-- Z ~ :J Ww (/) :>u Z z~ 0 ~:> Co) wO ~1Il J: I-- ...J ~ J: W 0:: <( Co) 0 ...J :i: Co) ~ ;S; '" ~ ;:; .... 0 0 0 <( 0 '" . -z Zo 11i;:: Il'l M Il'l ~ Il'l Z a. 0 ;:: ...J W ~ J: -,... .-z ~ "" 'J !Is.!! 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NEW HANOVER COUNTY BOARD OF COMMISSIONERS Request for Board Action Agenda: Consent A enda: [8J Presenter Cindy Hewett, Business Mana er Contact: Cind Hewett, Business Mana er, ext 6680 Meeting Date: 10/18/04 Department: Health Sub'ect: Acce tance of State Fundin to su ort Local Bio-terrorism efforts $ 137,114 Brief Summary' The New Hanover County Health Department is receiving $137,114 from the North Carolina Department of Health and Human Services to support Local Bio-terrorism efforts, These funds will be used to cover the salary and fringe for the Health Planner, as well as other costs to include: travel and training for NHC Health Department Staff, as it relates to bio-terrorism efforts, annual Nextel service, Xerox copier lease, supplies for the five dispensing sites identified for disaster preparedness and recovery, Strategic Planning Session through the North Carolina Institute of Public Health, digital projector and television to be used to support PHTIN video-conferencing sessions, Recommended Motion and Requested Actions: To accept and approve the $137,114 state funding to support local bio-terrorism efforts of the New Hanover County Health Denartment and the associated bud!!et amendment. . Funding Source: Additional funding is through the North Carolina Department of Health and Human Services, Division of Public Health, Will above action result in: DNew Position Number ofPosition(s) Dposition(s) Modification or change ~No Change in Position(s) I Explanation: I Attachments: Supporting documentation . 12 . . '-. . . ~ z w :::E c z w ::E cC ~ w C) C :J III W :J Z W > w a: ~ ~ Ii3 ~ " ;!; ~ ~ '" 0- o Z o o I'- CO .... 0 .... LO I'- I'- ~w- 0 .... ~ "!. Z ...nll 0) C') LO 0) ::> 00:: .... O~~ .... :E zO <( ",-0 + ... I + + + + 0 01-1- WWZ enC!)::l -00 (;J::l::iE O::OO<l: 1-1-1- ZWZ WC!)::l 0::00 0::::l::iE BOO<l: I- Z W ::iE en en W en en <l: all en Z en 0 W ~ Z >< Ww 0 ::>() W Z 0 Zo:: 0:: ::l a. ~5 ~ ...J ::iE ...J ::iE en ~ 0::'" W ::iE 0:: 0 a. 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EEEfil "'''''''~ Zzz~ 1 . .: o "" '(ii o a. ~ Ol '" '" '" ii: ~ - c;; Ol :I: . . .... ~ .E Ol Ol '" :E "0 '" '" '" c;; In Ol '" '6 ::J U .5: E ~ Ol e . . 14 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC HEALTH FUNDING AUlHORIZA liON . ~ UED TO: NEW HANOVER COUNTY STATE FISCAL YEAR Public Health DepartmentIDistrict FROM: July 1,2004 through June 30, 2005 ACTIVITY:, 514 EFFECTIVE DATE 07/01/04 NAME OF PROGRAM: BT Prepared and Response INITIAL ALLOCATION $119,017.00 PRIOR ADJUSTMENTS YEAR TO DATE. . . INCREASE (DECREASE) INCREASE (DECREASE) TIDS AUTHORIZATION NET ANNUAL ALLOCATION $119,017.00 GRANT INFORMATION Tvne of Fund Service Months Payment Months ~ eral June-May July-June 1561 2680 ET eral June-May July-June 1561 2681 ET Federal June-May July-June 1561 2687 ET Federal Sept-May Oct-June 1561 2680 EU Federal Sept-May Oct-June 1561 2681 EU Federal Sept-May Oct-June 1561 2687 EU Total Amount $2,021.00 $27,642.00 $1,884.00 $3,726.00 $81,589.00 $2.155.00 $119,017.00 Local Health Director Local Finance Officer ~Jljj~ DATE: 08126/04 DHHS-CO 7-04 AUTH# 1 Revision# .00 .00 CFDA# 93.283 93.283 93.283 93.283 93.283 93.283 15 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC HEALTH FUNDING AUlHORIZA liON . ISSUED TO: NEW HANOVER COUNTY STATE FISCAL YEAR Public Health DepartmentlDistrict FROM: July 1, 2004 through June 30, 2005 ACT1VITY: 515 EFFECTIVE AUTH# DATE 1 NAME OF PROGRAM: Bioterrorism Communications and Risk Assessment 07/01/04 Revision# INITIAL ALLOCATION $3,156.00 , PRIOR ADJUSTMENTS YEAR TO DATE. . . INCREASE (DECREASE) .00 INCREASE (DECREASE) THIS AUTHORIZATION .00 NET ANNUAL ALLOCATION $3,156.00 GRANT INFORMATION , Tvne of Fund Service Months Payment Months ~ Amount CFDA# Federal June-May July-June 1561 2686 ET $1,461.00 93.283 Federal Sept-May Oet-June 1561 2686 EU $1.695.00 93.283 , Total $3,156.00 -7IJZ~rMtP Local Healtb Director Local Finance Officer ~ .- AUTHORIZED SIGNATURE ~Jljj~ DATE: 08126/04 , I . / DIUI8-CO 7-04 16 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC HEALTH FUNDING AUTHORIZATION ED TO: NEW HANOVER COUNTY STATE FISCAL YEAR Public Health DepartmentlDistrict FROM: July 1, 1004 through June 30, 1005 NAME OF PROGRAM: SNS EFFECTIVE DATE 07/01/04 AUTH# 1 Revlsion# ACTMTY: 518 INITIAL ALLOCATION 55,671.00 PRIOR ADJUSTMENTS YEAR TO DATE. . . INCREASE (DECREASE) INCREASE (DECREASE) THIS AUTHORIZATION .00 .00 NET ANNUAL ALLOCATION 55,671.00 GRANT INFORMATION Tvoe of Fund Service Months Pavment Months ~ Amount CFDA# .ral June-May July-June 15611688 ET $5,671.00 93.183 ~~ Local Finance Officer AUTHORIZED SIGNATURE ~JI. jj~ DATE: 08116/04 S-CO 7-04 17 NORTH CAROUNA DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC HEALTH FUNDING AUTHORIZATION ISSUED TO: NEW HANOVER COUNTY STATE FISCAL YEAR Public Healtb DepartmentIDlstrlct FROM: July 1,2004 through June 30, 2005 ACTMTY: 519 EFFECTIVE DATE 07/01104 NAME OF PROGRAM: Smallpox INITIAL ALLOCATION $9,270.00 PRIOR ADJUSTMENTS YEAR TO DATE. . . INCREASE (DECREASE) INCREASE (DECREASE) THIS AUTHORIZATION NET ANNUAL ALLOCATION $9,270.00 GRANT INFORMATION TvneofFund Service Months PaYment Months Codes Federal June-May July-June 1563 2680 ET Federal June-May July-June 1563 2681 ET Federal June-May July-June 1563 2686 ET Federal June-May July-June 1563 2687 ET Federal June-May July-Jnne 1563 2688 ET Amount 5425.00 $6,533.00 $354.00 $372.00 Sl.!586.00 $9,270.00 Local Health Director Local Finance Officer AUTHORIZED SIGNATURE ~Jljj~ DATE: 08126/04 DHHS-CO 7-04 . ,~ ., AUTH# 1 Revlsion# .00 .00 CFDA# 93.283 93.283 93.283 93.283 93.283 18 1/ ., ~.. NEW HANOVER COUNTY BOARD OF COMMISSIONERS Request for Board Action Agenda: Consent Meeting Date: 9/20/04 A enda: ~ Department: Health Presenter: Cindy Hewett, Business Mana er Contact: Cind Hewett, Business Mana er, ext 6680 Subject: Acceptance of$18,756 additional funding from the State WIC Program to be used to urchase 14 new com uters for the New Hanover Coun WIC Pro am Brief Summary: The State WIC Program is offering $18,756 additional funding to the New Hanover County Health Department to be used to purchase 14 new DELL computers for use in the NHCHD WIC Program. Funds for this purchase must be spent or obligated by September 30,2004 This opportunity arose after the September 1,2004 Board of Health meeting. Due to the strict timeline imposed by the State for the use of these funds, we requested special approval to process this request (from the Chairman of the NHC BOH) with the County Commissioners (on September 20,2004) prior to the next NHC Board of Health meetin scheduled for Wednesda , October 6, 2004 . . Recommended Motion and Requested Actions: To accept and approve the $18,756 additional State WIC funds to be used to purchase new computers for the NHCHD WIC Pro am, alon with the associated bud et amendment. Funding Source: Additional funding is through the North Carolina Department of Health and Human Services, Division of Public Health, Women's and Children's Health Section, Nutrition Services Branch. Will above action result in: DNew Position Number ofPosition(s) Dposition(s) Modification or change ~No Change in Position(s) I Explanation: I Attachments: Supporting documentation . 19 I ~. 0) North CuollDa Department ofBiidtll ud Som... ServI* DiYialon of PubHc Bealtll.WoJDen'... CIdIdreJI'. BeaIIh Section 1914 Mail Service Qmtcr . Raleigh, North Carolbla 2769ll-1914 Tel 919-733-2973 . Fax 919-733-1384 M1ch101 F. Buley, Governor Camlal1 Hooker Odom, SecrotaIy September 3, 2004 MEMORANDUM TO: IlUlget FROMI Kimbcd a. Nutrition Services Brlll1Clh SUBJECI': BquIpmmt Approval Your request to pUlCllasC computer equipment is approved at the fonowiDg total price: . QIY 14 OptiP1ex GX280 ITEM UNIT COST $1,339.76 SUBTOTAL $18,756.64 Tote1 $18,756.64 plus sbippina IIUi hR"dlm II 1. The State WJC Pl'OgrlUD Omee ha. been able to neaodate a better prlee wttll Dell for the OpdPlex GX280 model due to a bulk pureluue. To obtain tbe rate of $1,339.76 refer to quote #1172703513 when placing your order. If ordering by purellaee order, flllt your reqlleet to 1.800-433.9527 AttDl Ryan Newcomb and Include your blUlDz and ehlp to addres.ee. Should)'01l need any aulatance pladDg your order, Ryan can be readied at 1-800-879-3355 nt. 67559. Orden normally take 3.$ day. to .bip and en eddilional3-5 daye to be received. Funding to lapport tbls purchase will be added to your eUent .ervices hudget (1540- !403-GE) via tbe Controller's Omce's September E.paymeDt Proce.. to Local Bealtll Departmentl. Foods fDr thll parchaee must be .pent or obligated by September 30, 2004 and .hall be reported agalnlt the IImee month of September. If tand. have not beeu expended by the dme you report espendituree to tbe Controller'. Omce for .ervlees thll mODtb (the deedliDe b September 20~, pl_ submit. revised expeadltnre report for September once funds have been es:peaded. All f'aad. must be reported DO later than November 30, 2004. 2. . * LooallDII: 1330 81. Muy'1 81\'eelt Raleigh, N.C. 27605 An Equal OpponunIcy I AIIIcmaIlvt AoIfOllIlmpIO)'W 10',1 bO:ql b001 r. a9~ bRr.lr.r./~l~:.e~ ~~~IAH~r. NOli IHION 20 3. If the purohase price exeeedl the amount approved, you must I.'equest IIJlPl'Oval of tbe exoess befoN incurriDs the Co.t. 4. Equipment purchased with WIC funds must be used for the WIC Program alone. S. Submit a copy of the invoice for equipment to the Nutrition Services Branch (Attention: Annie Holloway) at the time you report the expenditure. The invoice should indicate the actual cost of each item includins discount and aales tax and any serial or Identification nmnber. cc: Nancy Nail. Nutrition Services Supervisor CO'd SO :91 ~OOZ C ass ~9ClCCl616:~ed S3JIAH3S NOIIIHlnNs .~ . . 21 ~. . . David E Rice 09/071200408:16 AM To: chewett@nhcgov.com@NHC ee: Marilyn RobertsINHC@NHC. (bee: archive) Subject: Re: Budget Amendment for WIC purchases Approved for processing. We'll place this on our September 28 NHCBH Executive Committee meeting. - Forwarded by David E Rice/NHC on 0910712004 08:t5 AM-- -<J-,j,.>, . "Melody Speck" <MCSpeck@blzec.rr.co m> To: <drice@nhcgov.com> ee: (bee: archive) Subject: Re: Budget Amendment for WIC purchases 09/0712004 08:13 AM Dave, You have my approval to process prior to the next exec. meeting. Melody ----- Original Message ---__ From: <drice@nhcgov.com> To: <MCSpeck@bizec.rr.com> Cc: <chewett@nhcgov.com> Sent: Tuesday, September 07, 2004 8:04 AM Subject: Budget Amendment for WIC purchases > > > > > Melody, > > Please approve our processing of this request prior to the NHCBH Executive > Committee meeting on September 28. > > Thanks, > > > > > > > > > > > > Rice/NHC@NHC, Cam > Troutman/NHC@NHC, (bcc: > for WIC purchases > > > > > > Dave- > 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 ----- Forwarded by David E Rice/NHC on 09/07/2004 08:03 AM _____ Cindy Hewett Griffin/NHC@NHC 09/03/2004 archive) PM To: David E 04:53 cc: Norma Subject: Budget Amendment 22 > Great News!! We have just received notification (it's hot off the fax > machine) from the State that we will receive funding for 14 computers for > our WIC program. We will need to obtain approval from the BOH (Tuesday- > 9/7/04) so that we may submit to the County Commissioners for their > approval at their September 20th meeting. Budget amendment deadline is > Noon on Tuesday (9/7/04). Additionally, these funds must be spent or > obligated by September 30th!! > > > > > > > > > > > > > > > > > > > > Cam- Once I have received approval, I will send budget amendment down for inclusion on the Commissioner's September 20th meeting. Amount of budget amendment is $18,756.64. Thank you to both of you for your help with this. ******************************************* Cindy Hewett, MSIS Business Manager New Hanover County Health 2029 South 17th Street Wilmington, NC 28401 Phone: (910) 343-6680 Fax: (910) 341-4146 email: chewett@nhcgov.com Department .~ I , . . 23 I.,. . . NEW HANOVER COUNTY BOARD OF COMMISSIONERS REQUEST FOR BOARD ACTION Meeting Date: 09/20/04 Consent Item #: 4 Estimated Time: Page N,l!fI!ber' Department: Health Presenter: Cindy Hewett, Business Manager Contact: Cindy Hewett, Business Manager SUBJECT: Acceptance of $18.756 Additional Funding from the State Women, Infants and Children (WI C) Program to be Used to Purchase 14 New Computers for the New Hanover County Health Department WIC Program BRIEF SUMMARY: The State WIC Program is awarding $18,756 additional funding to the New Hanover County Health Department to be used to purchase 14 new DELL computers for use in the NHCHD WIC Program. Funds for this purchase must be spent or obligated by September 30, 2004 RECOMMENDED MOTION AND REQUESTED ACTIONS: To accept and approve the $18,756 additional State WIC funds to be used to purchase new computers for the NHCHD WIC Program along with the associated budget amendment. FUNDING SOURCE: Will above action result in: No Change In Posltion(s) Number of Positions: Explanation: Additional funding Is through the North Carolina Department of Health and Human Services, Division of Public Health, Women's and Children's Health Section, Nutrition Services Branch. ATTACHMENTS: iii 05-0044 d REVIEWED BY: LEGAL. N/A FINANCE: Approve BUDGET HUMAN RESOURCES: N/A COUNTY MANAGER'S COMMENTS AND RECOMMENDATIONS: Recommend approval. 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ADDITIONAL INFORMATION: APPROVAL STATUS: To be approved by Board Of Commissioners COMMISSIONERS' ACTIONS/COMMENTS: Approved 4-0. 14 27 NEW HANOVER COUNTY BOARD OF COMMISSIONERS Request for Board Action Agenda:U Consent Meeting Date: 10/18/04 Agenda: ~ Department: Health Presenter: Cindy Hewett, Business Manager Contact: Cindy Hewett, Business Manager, ext 6680 Sub'ect: Bud et Amendment in the amount of$II,118 for Women's Preventive Health Brief Summary' The New Hanover County Health Department will receive $11,118 additional funds from the State to be used to support the Family Planning Program, These funds may be used for any Family Planning (Title X) approved expense, including contraceptives, Pap Tests and sterilizations, NHC Health Department is requesting approval to accept these funds and to use these to purchase contraceptives, pap tests and to a I them to the increased cost in GC and CWamydia lab testin , Recommended Motion and Requested Actions: To accept and approve the additional state funds in the amount of$II,118 for the Women's Preventive Health (Family Plannin ) Pro ram and the associated bud et amendment, e I Funding Source: Department of Health and Human Services Will above action result in: DNew Position Number ofPosition(s) Dposition(s) Modification or change ~No Change in Position(s) I Explanation: I Attachments: Supporting documentation and budget amendment, . 28 . . 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"E o " Q) '" 10 .r; e ::> c. .9 ~ 10 - en Q) = . E .g " Q) > 'ijj ~ c o Tii "E Q) E ::> " o " 0) c 'E o c. c. ::> en . 30 "<1 · , Janet McCumbee ~ -: ;~)~ 09/101200408:52 AM To: chewett@co.new-hanover.nc.us, BettyJo McCorkle/NHC@NHC, Panza McNeilVNHC@NHC ee: Subject: New Family Planning Funds We need to discuss this next week. ---- Forwarded by Janet McCumbee/NHC on 09/10/2004 08:52 AM ----- . Brenda Dunn " I . <Brenda.Dunn@ncmail , .net> , 09/09/2004 03:39 PM To: undisclosed-recipients:; cc: (bee: archive) Subject: New Family Planning Funds Dear Directors of Nursing, Nursing Supervisors and Lead Family Planning Coordinators, the following Memo with attachments was sent to Health Directors this date. September 9,2004 To: Attn: Local Health Directors Directors of Nursing Family Planning Coordinators Sydney Atkinson, Family Planning and Reproductive Health Unit Supervisor From: Re: Additional Family Planning Funds- TANF, Bonus and Sterilization and Women's Health Service Funds We are pleased to announce that we have additional Family Planning funds to allocate to county and district health departments this fiscal year We have $1 million in T ANF Block Grant Funds that were transferred to Women's and Children's Health Section to support activities to reduce the state's out-of-wedlock births. These funds have been allocated to all local providers of family planning services based on the proportional numbers of out-of-wedlock births in each county. As in prior years when you receive the Agreement Addenda, you must submit to the Contracts Office a signed plan (Section C-2 Agreement Addenda) for spending these funds which you can negotiate along with your county DSS Director See Attachments. We also have a total of $747,000 Title X "bonus funds" to distribute among all the counties. These funds are earmarked for caseload expansion. In order to be as fair as possible with this distribution, we have decided to use a portion of this one-time money and allocate $1057 per county. As we have done in the past, we are distributing the majority of these "bonus funds" to recognize Local Health Departments (LHDs) whose patient caseloads have shown an increase when the past three years' average caseload (SFY 02-04) is compared to the previous three years' average caseload (SFY 99-01). These funds may be used for any Family Planning (Title X) approved expense, including contraceptives, Pap tests, and sterilizations. This increase in funds is partially a result of increased Family Planning caseloads in NC. Future increased funds will be distributed to LHDs based upon increased caseloads. A spreadsheet is attached showing the total amount each county will receive. 31 The remainder of the additional Title X funds will be earmarked for voluntary sterilizations. The _- ~ total amount available for sterilizations is $250,000. In order to maximize and expedite the use of these funds, local agencies meeting the following criteria will be considered for priority funding: - agency has patients on a waiting list, - patients already have valid, signed consent forms - patients with income/family size falling below 101% of the Federal Poverty Level, - agency has valid agreements/contracts with local medical providers, - agency is able to arrange for the procedures to be completed, invoiced, and reported as paid by May 15, 2005 If you are interested in applying for these funds, please complete the attached sterilization request form and return it to Sydney Atkinson at svdnev.atkinson@ncmai1.net or by fax to 919-715-34101 no later than October 8, 2004 Should we receive any additional Title X funds during this fiscal year, a portion of these will also be earmarked for sterilizations. We will maintain a log of which LHDs have applied for funding and make further allocations based upon requests received in September. This is an effort to make sterilization funds available so they may be spent in a timely manner. As with expenditures of any Title X funds, your agency must adhere to all Title X rules and regulations, including quarterly sterilization reports. Clinical services and/or contraceptive-related counseling (ie., informed consent process) provided in conjunction with preparation for a sterilization, must also be reported through HSIS - - especially if the patient has not been seen in family planning this year Failure to use any requested funds this year could make your agency ineligible for receiving such funds in future years. In March of 2004, we informed you that the Women's Health Service Fund (WHSF) would be used as matching funds for the Medicaid Waiver for Family Planning. We distributed unobligated Title X funds at that time based on 150% of each Health Department's usual WHSF in anticipation of requiring these funds this year for the Waiver match. At this time, the Waiver approval is still pending. Thus, we are anticipating that some portion of the WHSF will be available to LHDs during this fiscal year We will update you on this issue by November, 2004 The WCHS Liaison Committee reviewed and concurred with this process on Wednesday, August 18th. New Budgetary Estimates will be coming soon. Should your county be unable to expend 100% of your funds by June 30, 2005 please contact Tricia Parish (tricia.oarish@ncmai1.net or 919-715-3408) by March 31, 2005 Should you have questions about these funds, please contact Sydney Atkinson at 919-715-3393 or svdnev.atkinson@ncmai1.net. Attachments Cc: Joe Holliday Kevin Ryan Joy Reed Dennis Harrington Regional Nurse and Social Work Consultants Administrative Consultants 3 , e. . . II FY 2004-2005 Family Planning "Bonus" 08/31/2004 Distribution _.._n COUNTY/DISTRICT 01 ALAMANCE $15,205.00 35 FRANKLIN $2,747.00 66 NORTHAMPTON $1,057.00 202 ALBEMARLE REG $12,59100 36 GASTON $17,485.00 67 ONSLOW $1,05700 02 ALEXANDER $1,961 00 37 GATES $1,450.00 68 ORANGE $1,05700 04 ANSON $3,140.00 38 GRAHAM $1,057.00 69 PAMLlCO $1,214.00 201 APPALACHIAN $12,171.00 203 GRAN-VANCE $2,232.00 71 PENDER $12,769.00 07 BEAUFORT $17,445.00 40 GREENE $2,15700 73 PERSON $1,057.00 09 BLADEN $1,529,00 41 GUILFORD $1,057.00 74 PITT $14,576.00 10 BRUNSWICK $1,057.00 42 HALIFAX $1,05700 76 RANDOLPH $1,05700 11 BUNCOMBE $35,092.00 43 HARNETT $9,035.00 77 RICHMOND $1,057 00 12 BURKE $1,057.00 44 HAYWOOD $13,515.00 78 ROBESON $1,05700 13 CABARRUS $5,026.00 45 HENDERSON $5,773.00 79 ROCKINGHAM $1,057 00 14 CALDWELL $18,035.00 46 HERTFORD $1,529.00 80 ROWAN $1,057 00 16 CARTERET $1,057.00 209 HERT-GATES $0.00 207 R-P-M $3,171.00 17 CASWELL $4,201.00 47 HOKE $1,057.00 82 SAMPSON $5,341.00 18 CATAWBA $18,624.00 48 HYDE $1,057.00 83 SCOTLAND $2,236.00 19 CHATHAM $15,402.00 49 IREDELL $1,057.00 84 STANLY $6,598.00 20 CHEROKEE $1,057.00 ' 50 JACKSON $1,057.00 85 STOKES $4,31900 22 CLAY $1,057.00 51 JOHNSTON $1,057.00 86 SURRY $6,481.00 23 CLEVELAND $9,232,00 52 JONES $2,747.00 87 SWAIN $1,057 00 24 COLUMBUS $18,664.00 53 LEE $11,393.00 206 TOE RIVER $5,922.00 25 CRAVEN $1,05700 54 LENOIR $1,057.00 88 TRANSYLVANIA $10,057 00 26 CUMBERLAND $28,292.00 55 LINCOLN $1,568.00 90 UNION $6,127.00 28 DARE $1,057.00 56 MACON $5,184.00 92 WAKE $0.00 29 DAVIDSON $1,057 00 57 MADISON $6.716.00 93 WARREN $1,568.00 30 DAVIE $1,057.00 205 MAR-TYR-WASH $6,315.00 96 WAYNE $4,240.00 31 DUPLIN $1,057.00 60 MECKLENBURG $16,895.00 97 WILKES $1,057.00 32 DURHAM $52,934.00 62 MONTGOMERY $4,555.00 98 WILSON $1,057 00 33 EDGECOMBE $1,057.00 63 MOORE $1,057.00 99 YADKIN $1,057.00 34 FORSYTH $1.057.00 64 NASH $9,428.00 TOTAL $523,000.00 65 NEW HANOVER $11,118.00 33 . NEW HANOVER COUNTY BOARD OF HEALTH Request for Board Action AgendaTI Consent Meeting Date: October 5, Ae:enda: 0 2004 Deoartment: Health Presenter: David Rice Contact: David Rice Subject: RESOLUTION IN OPPOSITION TO DELETING THE REQUIREMENT THAT BACCALAUREATE NURSING PROGRAMS MUST INCLUDE PUBLIC HEALTH NURSING THEORY AND CLINICAL EXPERIENCES Brief Summary: the North Carolina Board of Nursing has posted on its website proposed changes to the standards for educational programs which prepare individuals for initial licensure as a registered nurse reflecting deletion of the requirement that all baccalaureate nursing programs include theory and clinical experiences in public health nursing. . The resolution requests the New Hanover County Board of Health to oppose this proposed change to the standards for nursing education programs leading to initial licensure as a registered nurse. The resolution also requests the New Hanover County Board of Health to ask the North Carolina Board of Nursing to keep the current language in rule ,0321 that "the curriculum for a baccalaureate nursing program shall also include public health nursing. Instruction shall include both theory and clinical learning experiences. " I Recommended Motion and Requested Actions: Approve the resolution. I Funding Source: Will above action result in: DNew Position Number of Position(s) Dposition(s) Modification or change DNo Change in Position(s) I Explanation: Attachments: RESOLUTION IN OPPOSITION TO DELETING THE REQUIREMENT THAT BACCALAUREATE NURSING PROGRAMS MUST INCLUDE PUBLIC HEALTH NURSING THEORY AND CLINICAL EXPERIENCES . 34 . RESOLUTION IN OPPOSmON TO DELETING THE REQUIREMENT THAT BACCALAUREATE NURSING PROGRAMS MUST INCLUDE PUBLIC HEALTH NURSING THEORY AND CLINICAL EXPERIENCES Whereas, the North Carolina Board of Nursing has posted on its website proposed changes to the standards for educational programs which prepare individuals for initial licensure as a registered nurse reflecting deletion of the requirement that all baccalaureate nursing programs include theory and clinical experiences in public health nursing; and Whereas, the baccalaureate degree has long been the accepted national standard for educational preparation of public health nurses; and Whereas, that standard has led to the establishment of an Administrative Rule requiring non-baccalaureate prepared nurses hired in public health to take a course sponsored by the Division of Public Health and has resulted in a better-prepared public health nursing workforce in North Carolina; and . Whereas, the health care issues facing our country, including emerging infectious diseases, threats of bioterrorism, and epidemics of chronic diseases including HIV, would be more effectively addressed if all baccalaureate-prepared nurses, regardless of setting, understood the principles of public health; Therefore Be It Resolved that the New Hanover County Board of Health opposes this proposed change to the standards for nursing education programs leading to initial licensure as a registered nurse; and Be it further resolved that the New Hanover County Board of Health asks the North Carolina Board of Nursing to keep the current language in rule .0321 that "the curriculum for a baccalaureate nursing program shall also include public health nursing. Instruction shall include both theory and clinical learning experiences." Melody C. Speck, DMV Chairman Date of Adoption . 35 . . . David E Rice 09/29/2004 07:34 AM To: donblake@aol.com. eweaver@ec.rr.com. freemanm@wrightcorp.com, MCSpeck@bizec.rr.com. iamsmiles@bizec.rr.com cc: jmccumbee@nhcgov.com Subject: Re: Resolution NHCBH Executive Committee Members: Please let me know if you need additional information regarding the resolution. Please see Joy Reed's response. Thanks. Dave -- Forwarded by David E RicelNHC on 09/29/2004 07:31 AM - a - Joy Reed <Joy.Reed@ncmall.net > To: drice@nhcgov.com cc: Subject: Re: Resolution 09/29/2004 07:29 AM The Board is "broadening" the curriculum standards and deleting all prescriptive language about content in the various nursing education programs (e.g., they will not longer say that all nursing programs must include "maternity nursing") in order to allow more flexibility in curriculum design. The difference for this one item (I believe) is that it is the only statement in the current standards which identifies any difference between the content of ADN and BSN programs. drice@nhcgov.com wrote: >Joy, > >The NHCBH Executive Committee considered and tabled the "Resolution in >Opposition to Deleting the Requirement that Baccalaureate Nursing Programs >Must Include Public Health Nursing Theory and Clinical Experiences". Their >reason was the need for additional information as to why the NC Board of >Nursing has proposed this deletion. Please respond prior to next Tuesday, >October 5. The Board of Health will meet on Wednesday, October 6 to >consider this resolution. > >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 > >NOTICE: E-mail correspondence to and from this address may be subject to >the North Carolina Public Records Law and may be disclosed to third parties >by an authorized county official. > > > 36 Rule Changes proposed by the N,C, Board of Nursing (BON) . Regarding: Curriculum in Schools of Nursing The BON has proposed that all orescriotive language be struck from the rules regarding the curriculum taught in Schools of Nursing, This would eliminate the wording that states the curriculum must include the care of the maternal, child, medical, surgical, psychiatric, and ilging patient It would also eliminate the requirement to include a course in Public Health theory and clinical. After much discussion with Joy Reed, our state lead Public Health Nurse, we have presented a resolution to oppose this change in the rules. Joy can't say exactly where this recommendation originated, but feels the institutions may be pushing to take all prescriptive language out of the rules, to allow them to be creative without having to submit curriculum changes to the BON on a regular basis. Upon discussing this with one of our UNCW Nursing Professors, we discovered that she knew little about the proposed changes and had grave concerns about the proposed changes. She had heard that mental health professionals are also concerned about taking out the psychiatric requirement . Joy stated that the national standard for entry into Public Health Nursing has always been a BSN degree, with the understanding that all BSN programs included a Public Health course. Nonh Carolina has required that any nurse hired into Public Health without a BSN must take the Introduction to Public Health course through UNC-CH. We do sometimes hire nurses without a BSN, due to lack ofBSN applicants, or because that applicant seems to be the best fit for that position. If Schools of Nursing eliminate the Public Health curriculum, we will have to send all new hires to the Intro Course. This is additional time away from their job, and thus delays their fUll orientation process for months, . One of Joy's points for keeping the required Public Health Course is that Public Health Nursing is a unique field of nursing, unlike any other It is both preventative focused and population based, rather than dealing with individual patient care related to illness. Public Health Nurses must understand concepts such as community needs assessments, disease related statistics, and Communicable Disease control. They must function in the field independently on a daily basis. Again, Joy Reed feels strongly that we should go on record opposing the rule~ canges, especially the deletion of the required Public Health Course, Submitted to the BOH by Janet McCumbee RN, BSN ./" 1l~ o/fI . r October 6, 2004 ~ P'" ~- ~~ 1;G ~ ~~ ~~ \ .i.: . . . Mass Vaccination Clinic Exercise- . Monday, October 18, 2004 1:00 - 5:00 p.m. . @ Hoggard High School Purpose . This exercise will serve as the test for the Strategic National Stockpile plan that is developed to respond to a bioterrorism attack. - allow County officials to evaluate the response plan they have designed; - it will allow participants to receive a flu shot (influenza vaccine), if they so choose. Participants . New Hanover County . City of Wilmington . New Hanover Regional Medical Center . Southeastern Center for Mental Health . New Hanover County Schools . The Towns of Carolina Beach, Kure Beach, and Wrighlsville Beach . Special Needs Task Force 1 Strategic National Stockpile . New Hanover County Health Department was one-of-four local health departments to bes.1ected by the NC Department of Health and Human Services and the Special Operations Response Team (SORT) to develop a Strategic National Stockpile Plan. Strategic National Stockpile -=.';..ai:, "'""'"'t'*'; , 'I ; ~ " ' , ~ ,,', I ~ ' '< . ' - /' '. '- ;j11', ~ ~ '- ,r:;I-- ~ ,I . r, ,1 , ~I I '; _,,' Strategic National Stockpile t ., . . . 2 . , u . . . Strategic National Stockpile . Pharmaceuticals . IV Administration Supplies . Airway Management Supplies . Other items Strategic National Stockpile . Receiving Site - State Port . Dispensing Sites - Ashley High Schoot . - CFCC - Schwanz Center - Hoggard High School - Laney High School - UNCW- Trask Coliseum Influenza (Flu) . An estimated 5% to 20% of U.S. residents get the flu each year; . an average of 114,000 people are hospitalized for flu-related complications; and . 36,000 Americans die each year from complications of flu. 3 Influenza (Flu) Vaccine . The 2004-05 formulation includes one virus from last year's vaccine [A/New Caledonia/20/99 (H1Nl)- like] and two new viruses [A/Fujian/411/2002 (H3N2-like) and B/Shanghai/361/2002-like] (CDC) Influenza (Flu) . The single best way to prevent the flu Is to get vaccinated each fall. - New Hanover County Health Department will begin flu vaccInations In mid-October in our auditorium. - $20 charge for flu vaccination. , . .' . . . 4 . . . David E Rice 09/28/2004 11 :53 AM To: clofgren@charter.net, donblake@aol.com, eweaver@ec.rr.com, hickmonj@bellsouth.net, jstunstall@andrewandkuske.com, freemanm@wrightcorp.com, MCSpeck@bizec.rr.com, ppsmithsr@aol.com, bgreer@nhcgov.com, iamsmiles@bizec.rr.com, aquamedic9@aol.com cc: Pat Melvin/NHC@NHC, bherzog@intrex.net, chewett@nhcgov.com@NHC, David E Rice/NHC@NHC, David McDaniel/NHC@NHC, Dianne Harvell/NHC@NHC, Janet McCumbee/NHC@NHC, Jean McNeil/NHC@NHC, Marilyn RobertslNHC@NHC, Scott Harrelson/NHC@NHC, Thomas MorrislNHC@NHC Subject Organizational Analysis Update - September 2004 NHCBH Members, NHCHD's Management Team has updated the attached document. As you know, October will mark two years since we received the OA Report from the NC Institute for Public Health. I believe we have made great strides in addressing the recommendations of the report! The NCIPH and Bill Herzog have agreed to facilitate our next strategic planning session in March or April 2005. Stay tuned, Dave iii OA Update - September 2004 NO TJeE. E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized county official. . , , NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 . Recommendation/ S R . uDDestlon eSDonse Recommendation . 50% reduction of supervisors in Personal Health Services 1: Reduce the . 30% reduction of supervisors in Support Services. number of . Personal Health Services Team leader roles changed - no administrative supervision but stronger leaders to help supervisors levels between . Working with Human Resources: PHNII and PHN III roles the Health enhanced; Zones II and III rewritten Director and the . Restructured work units line staff. . Reclassified Assistant Health Director position to Health Programs Administrator . Reclassified Public Health Division Manager positions to: Personal Health Services Manager, Animal Control Services Manager, and Environmental Health Services Manager (Recalculate . Reclassified Business Officer position to Human Services Agency Business Manager Supervisor) . Reclassified Administrative Support Manager to Administrative Support Coordinator . Reclassified two Public Health Division Managers to Public Health Nurse Supervisors . Reclassified one Public Health Division Manager position to Medical Lab Technologist . Reclassified an Administrative Support Supervisor position to an Information Systems Support Specialist The Health . Organizational Chart revised Department . 50% reduction of supervisors in Personal Health Services, Three leadership needs supervisor positions reclassified down to line staff level after to carefully review resignations/retirements, several other supervisors changed to PHN Zone II its overall team leaders, roles redefined under different supervision organizational . Personal Health Services Supervisors have larger groups to structure and supervise. adopt a more . Personal Health Services Team leader roles are changed - no staff flexible and less supervision responsibility, but stronger team leaders to help supervisors hierarchical . Working with Human Resources on PHN I, II, III roles; for team system from the leaders, program coordinators, and enhanced role nurses Health Director's . EHS completed the implementation of specialty work teams Office through the . Reduced number of Supervisors and formed new divisions. Divisions to the . HR still processing reclasses line staff. The Department . Done and continuing revisions regarding policies and procedure should consider changes. restructuring its . Restructured work units in Personal Health Services Division, 8 work units, teams of nursing programs, nutrition, and lab, with 8 supervisors reporting developing clear to PH Division Manager guiding policies . Successfully used workgroups to restructure services and teams and procedures . Team handbook Training for the Management Team (see . Meyer's Briggs Recommendation . Supervisors and team leaders attended UNCSPH 'Basic 10), and providing . 1 basic leadership training to all existing and newly appointed supervisors. With this in mind, the roles and responsibilities of supervisors should be examined to determine which of those could be more appropriately and productively performed in a 'team leader" role. Recommendation 2: Strengthen the central administrative staff of the Health Director's Office The NHCHD should consider establishing a Health Director's Staff that includes four newly configured Associate Director Positions: Associate Director of Population- Based Personal Health Services; Associate Director of Education, Training, and Development; Associate Director NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 . , Supervision", 'Myers-Briggs", Bioterrorism, Epidemiology & Incident Command System training . . PHTIN Broadcasts available at NHCHD (video conferencing capacity) . Still fine-tuning, but most is complete. Review of job descriptions underway at present. . Complete job description revisions by Dec. 04 and submit to HR . Reclassified Administrative Support Supervisor to Information Systems Support Specialist . Dental Assistant position reclassified to Interpreter . Management Team restructured . Identified four areas, 1) Policy Making Body-State Statutes- Ordinances/Regulations, 2) Budget, 3) Grants & Contracts, 4) Mgmt. Of Concern: Board to Staff (Chairman)/Staff to Board (HDBOH operations): BOH processed on May 7, June 4, July 2 and September 3, 2003 . Organizational chart revised . Reclassified Administrative Support Manager to Administrative Support Coordinator . Reclassification of Personal Health Services Manager, Health Programs Administrator, Human Services Agency Business Manager, Animal Control Services Manager and Environmental Health Services Manager . . Unable to do as desired (or recommended) . New Management Team: Administrative Support Coordinator, Health Programs Administrator, Personal Health Services Manager, Human Services Agency Business Manager, Animal Control Services Manager, Environmental Health Services Manager, Dental Health Services Manager, (Ex Officio) and Physician Epidemiologist, (Ex Officio) . Health Planner position created with bioterrorism funding . Reclassified Assistant Health Director position to Health Programs Administrator . 2 ~ . NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 . of Budget and Performance Appraisal Training of Supervisors on Aug. 17, 2004 Finance: and Associate Director of Information and Administrative Services. Each Division Director should report to one of these Associate Directors or to the Health Director Also, the Associate Directors should, in some cases, directly manage operational units that are not assigned to a specific division. If the above 0 N/A suggestion to form 0 Reduced size of Management Team a Health Director's 0 Reclassified Assistant Health Director position to Health Programs Staff or some Administrator similar design is not adopted, we believe that the respective roles of Health Director and Assistant Director should be carefully assessed and realigned. We strongly urge 0 In process. Team Handbook training has been initiated and that the purpose Management Team functions have been redefined. Ground rules and role of the established, meetings evaluated, Agenda set in advance, focus is on action Management items rather than information. Minutes distributed to all staff via email. Team be redefined 0 Strategic planning process completed in March 2003 as that of a Organizational Vision & Mission Workshop conducted in August 2003 Department policy- 0 Management Team reviews Policy Committee recommendations making and 0 Management Team reviews QA recommendations leadership group. 0 Management Team reviews HIPAA recommendations Among the many 0 To be addressed agenda items for 0 FY 2004-05 Budget process combining the following areas: the Management MCC/CSC/MOW/Navigator budgets into Care Coordination: Family Team, we believe Planning! BCCCP/ TANF into Women's Preventive Health; Personal Health that decisions General! Neurology/CSHS into Community Health and Risk regarding service Reduction/Health Education into Health Promotion . . 3 NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 provision and - Transportable dental unit proposal resource - EH Specialist positions established as result of manpower allocation, survey particularly as they - Satisfaction surveys established involve service - AO / 01 Team established expansion or cuts - OAS and staff - EHS relocation based on customer service deployment, currently made within Divisions should be routinely reviewed and placed in the context of the Department prior to implementation. We believe that . In process. Ongoing developments. the Health . Organizational Analysis discussion with Board of Health Director, in concert Reviewed the following Board of Health (Authority/Operations issues): with the Board of - Policy Making Body - State Statutes - Health, should Ordinances/Regulations delineate a - Budget demarcation of - Grants & Contracts 'policy" and - Management of Concern: Board to Staff (Chairman) / Staff 'operational" to Board (Health Director) decisions in order to clearly identify the appropriate range of decision- makino authorilv We believe that . Board of Health assistance in developing program budgets was the practice of discontinued in November 2002 Board assistance . Presenting Board of Health with Budget Summary Information only in developing Budget Workbook with complete line item detail is available for review as program budgets requested. should be discontinued. We suggest that . Public Contact with Board of Health policy adopted by Board of the Board of Health in September 2003 Health adopt a specific policy that refers any concerns brought to individual Board members to the Executive Director of the Health Department for follow-up and resolution with a 'renort" back to the 4 .~ . . . . ~-- Board. . Recommendation 3: Promote an internal and external image of the NHCHD as a single organizational unit. Vision/Missions Statement displayed . Divisions must take every opportunity themselves to contribute to the Department's overall image and substance, to learn to see their activities in the context of the Department as a whole, and build full staff awareness and appreciation of the contributions of all the departmental units. . The crucial need for the Health Director to give NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 . Board of Health approved the revised Stationery in October 2003 . Internal NHCHD image: - Annual & quarterly reports . External NHCHD image: . Health Programs Administrator coordinate media relations . 3-4 Health Educators being trained to deal w/issues . Promote motto logo: Organizational Vision & Mission efforts (signs in facility) . Staff unity' General staff meeting "Who Moved Cheese Party"- positive comments / Fish Video . Frequency of General Staff meetings changed from quarterly to bimonthly . Meetings with Adm. Support Services monthly . Clinical staff needs have been addressed re: smocks/lab coats . Centralized Newsletter Processing . Centralized Quarterly Report Processing . Centralized Courier Process to include EHS and ACS . Creation of Floater Position . Cross-training staff within units . Staff Shirts . Up-to-date Website . Adoption of 'Universal" Business Card for staff . NHCHD Brochure drafted . Monthly calendar of staff activities drafted . 125 Year Birthday celebration and banner . One of our more difficult challenges, but being implemented through open clinics and combining support services. . Health Programs Administrator to coordinate media relations . Organizational Vision & Mission rewritten and posted (post at EHS/ACS) . Enhanced staff awareness with emphasis on communication via email and meetings; new Personal Health Division and Support Services Division meetings every ather month opposite general staff meetings . General staff meeting 'Who Moved Cheese Party" - positive comments . Environmental Health Services relocation to Market Place Mall expanded Health Dept presence in & service to community; further, it aligned Health Dept EHS services with other NHC agencies that share a similar customer base - Marketing strategies - Mass Vaccination Exercise - Dept. wide participation . Health Director recently named to the NC Area Maritime Security Executive Committee. . Health Director promoted the NHC Preparedness and Response 5 NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 even more time to Coalition. Recent changes in the President and CEO of NHHN and the external NHC Emergency Manager One of four counties selected to process the representation Strategic National Stockpile Planning Committee. functions in the Ongoing face of increased - Hosting PHRST community - Accreditation Video change, reduced - SNS - Mass Vaccination budgets, and - Chamber of Commerce disaster and bio- - Media Relation terrorism threats - 125 Years further supports the need to strengthen that office. . In addition to 2000 Strategic Planning, NHCBH and NHCHD conducted a Strategic Planning retreat in March 2003 and a Mission and Vision retreat in August 2004. . Communications Plan, Marketing Committee- HP Team . Accreditation However, these . Media Contacts are coordinated through the Health Programs assignments must Administrator be made carefully . Media training for approximately 20 employees is scheduled on with the purpose April 16, 2004 and any special . Working on Annual Marketing Plan interests or goals . Development of Media Release Form fully explained to the individual assigned. The Health . In process. Staff shirts to be ordered distributed. (Thursdays Department should designated for wearing shirts) Lab coats in place. Mission/vision exercise also explore a was completed to review needed changes. variety of specific . Annual & quarterly reports revised, on web site steps to improve . New brochure staff and . Updated Annual Report and quarterly newsletter format community pride - Marketing Plan and appreciation, - Newsletter out by 1 Oct. 04 including: - Mission Vision Statement displayed publicizing the - 125 Years Celebration Department name, motto, and logo in every possible way Recommendation . Guidelines for Effective Meetings adopted by Management Team 4: Adopt a team- on March 25, 2003 6 " . . . . . . NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 oriented . Scheduled meetings: management Reduction in size of Management Team style. . Team Handbook Training Manaaement Team Purpose: The Management Team agreed on March 25, 2003 to the following elements of purpose: 0 Policy and Procedures 0 Leadership 0 Strategic Planning 0 Department Priorities 0 Emergency Response 0 Determine Department Programs 0 Regulatory 0 Budget - Resource Allocation - Staffing 0 Marketing and Community Support The Department . Differences between how those in management positions and will benefit by higher see the organization and how line professional and administrative taking every staff see the organization. possible . Work groups established within and among divisions opportunity to . Myers Briggs Trainings for all staff close this gap of perception. The NHCHD . Guidelines for Effective Meetings adopted by Management Team should develop a on March 25, 2003 model for . Recommended all meetings to follow these guidelines "effective . To be addressed by QA meetings" that includes a "team orientation" toward substantive discussion, policymaking, problem identification and resolution, priority setting, and task assignment and follow-up. The role and . Some work done, but not fully explored. People have been shifted functions of to new jobs, but in process of review for job descriptions. supervisory . PHN III team leader role has been redefined and reviewed by responsibilities Human Resources; still transitioning staff should be . EHS completed the implementation of specialty work teams reviewed, the "team leader" role explored, and the number of supervisors adjusted. 7 NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 Recommendation . Reviewed mandated services 5: Improve . Strategic Planning Retreat on March 22, 2003 strategic and . Vision and Mission Workshop on August 1 g, 2003 management . Efforts initiated to Link budget process with strategic planning planning . One of six NC counties to pilot the accreditation process; Self- systems. appraisal; Site Visit Team on February 24-26,2004. Accredited on May 28, 2004 . Areas of strategic planning identified: Access to health care; 2) preventive services and lifestyle-related risks; 3) communication, education and marketing (promotions); 4) facility utilization and information technology; 5) water quality, storm management and drainage; and air quality; 6) emerging health risks . Creation of Health Planner position . Quality Assurance Committed being formed . Mass Vaccination Exercise scheduled for October 18, 2004 The NHCHD . Mandated services have been identified should revise its . Accreditation process involved new planning and new processes strategic planning . Areas of strategic planning: 1) access to health care; 2) preventive update system to services and lifestyle-related risks; 3) communication, education and make it more goals marketing (promotions); 4) facility utilization and information technology; 5) oriented and water quality, storm management and drainage; and air quality; 6) emerging understandable to health risks Board of Health . Quality Assurance process began; QA Committee formed members and Health Department staff. As one aspect of . Vision and Mission Workshop held on August 1 g, 2003 the strategic . Board of Health adopted the Vision and Mission Statements on planning process, September 3, 2003 engage the entire . Vision/Mission Statement posted throughout facilities and organization in publications developing and adopting a new, concise mission statement that will have meaning to external stakeholders and the public. We think it will be . Vision and Mission Workshop held on August 19, 2003 useful if the . Board of Health adopted the Vision and Mission Statements on NHCHD adds a September 3, 2003 "visioning exercise" to its strategic planning process in which the Department ennanes in 8 . . . . . . NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 imagining what it "wants to be" in the future. Once this vision for direction is determined, each policy and management decision should be assessed in terms of whether it is moving the Department in that direction. We are convinced . Budget Consolidation that the NHCHD . QA Implementation would benefit by . Accreditation preparedness building an ongoing Departmental Management Planning Process that complements the strategic planning effort and fits within the county budget cycle. Decision-making . To be addressed about ongoing . Performance Appraisals/Workplans - Pilot Department for NHC operations should . QA Team established be linked to the . Access to Care - Dental Grants - Collaboration Department's . IT Focus; HIPAA Compliance strategic priorities, . Discussion with NCIPH for future efforts and decision- making and program development within individual Divisions should be conducted and assessed in the context of their contribution to the priority areas. In further consideration of . In process. current tight . Health Director is a member of the NC Department of Health and budgets, the Human Services - Public Health Task Force 2004 NHCHD should . Public Health Infrastructure focus from the state level through the collaborate with 9 other local departments in requesting that the NC Department of Health and Human Services and its Division of Public Health reassess the appropriateness and priority of the "mandated services." The Department should, through the strategic planning process, begin to systematically identify, measure, and track performance measures of Health Department programs and activities. Recommendation 6: Provide for greater unity, flexibility, and coordination of nursing and related personal health service programs. NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 NC Association of Local Health Directors . Accredited local Health Dept. - Mentor for Harnett County Health . Dept. . Realignment of funding for Part-time Interpreter . OAS, Communicable Disease Services . Quality assurance process underway; time studies - performance reporting . One of six NC counties accredited; Self-appraisal completed; Site Visit Team on February 24-26,2004 Accreditation process has initiated new planning processes . . Centralized appointment system . Workgroups formed . Time study data compiled . Business Manager interviewed all Adm. Support Supervisors. Administrative Support Staff and State Consultant, Penny Lewis assisted in this effort . Hired Interpreter; contracts processed for other interpreters . Consolidated nursing divisions: Child Service Coordination Team, Clinic Team, Community Team, Maternal Health Team, School Health Teams 1 & 2, Laboratory and Nutrition. . Reviewed clinic services: After August 2003, Well Baby Clinics brought back to Health Department. . Coordinate personal health: on-going . Cross training in clinical and also in administrative support services . Floater position - already effective in ACS, EH, Med. Rec., Switchboard, Nutrition . School health staff worked on Clinic Team during time out of school - worked well . Clinical (clerical) staff have assisted in Nutrition . Migrated contracts to Accountant position . School health positions: 4 positions were requested to have school nurse in each school . Open Access Scheduling: Site visit to Buncombe and Duplin counties. Open clinic was put to test July 2004, still need coordination . Centralized recention/renistration: . 10 . . . NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 . Personal health workgroups, Open clinic workgroups, Clinical work groups . Nutrition transferred to Personal Health Services in August 2003 . Combined Women's Health Care, Child Health, Communicable Disease, Community Health and Laboratory in December 2002 . Jail Health contracted to Prison Health Services in July 2003 . Medical records process completed with jail health medical records. . Workload distribution reviewed . Creation of Support Services Division in October 2003 . Support Services Division includes: Accounting, ACS/EHS Support Services, Billing, Customer Care, Fiscal Operations, Information Technology, Medical Records, and Program Support . Progressing towards Open Access Scheduling . Flu Clinic held in Auditorium for month of October 2003 . Consolidated Child Health clinics (Well Baby, Health Check, and Kindergarten Health Assessment) . Cross-training of Registration Staff We suggest that . Personal Health Services Division Created in December 2002 the Health . Personal Health Services Manager appointed Department should . Four nursing divisions have been consolidated into Personal Health combine the four Services Division to include 6 nursing teams: Child Service Coordination, Nursing Divisions Clinic Services, Community Services Maternal Health Team, School Health to report to a Teams 1 & 2, plus Laboratory and Nutrition. newly designated . One Personal Health Services Manager with 8 supervisors Associate Director . Personal health services workgroups of Population- . Clinic and community workgroups made recommendations for Based Services. services, which resulted in new teams . Reviewing clinic services . Cross training staff . Combined child health services into one clinic, while bringing the well baby clinic in-house . Brought the orthopedic clinic in-house . Open Access Scheduling began July 1, 2004 . Held first month of Flu vaccine clinics in auditorium for better customer service . School health nurse worked clinic during summer break . School health positions: nurse in every school!!! . Jail Health contracted to Prison Health Services in July 2003 We believe the . OAS began July 1, 2004 NHCHD should . Clinic renovations consider moving to an "open clinic" format. We suggest that . Centralized appointment and registration system implemented clinic reception . Registration Staff is cross-training to learn registration processes and registration for each clinic type. activities should be . Privacy Film was installed in each registration window so that if a centralized. renistration window is closed, customers will not be able to view reoistration 11 NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 area. Recommendation . Co-payment policies developed: 7: Centralize . Determined sliding fee scale does not apply to co-payments finance, . Billing system and billing staff centralized budgeting, and . Grants/contracts procedures centralized: billing systems . Accountant coordinates contracts . Student fees reviewed . Travelltraining consolidated . Purchasing: Gathering data, vendor listings, what is ordered, etc. . Established Central Supply Room . Consolidated financial system: . Consolidated budget process . Standardized fee policy . Evaluate accounts receivable: . County review' Business Manager met with Bruce Shell regarding process for utilizing County resources . Business Manager met with Penny Lewis, State Consultant regarding training in eligibilities, etc. . Evaluated accounts payable . Creation of Accountant position . -Creation of Fiscal Operations Unit . Transitioning of centralized purchasing and processing of PV's/PO's to Finance Office . Progressing towards online keying in LGFS . Creation of Billing Unit . Processing of invoices for swimming pool permits for EHS The NHCHD . Support Services Division created should consider . Human Services Agency Business Manager appointed. appointing an . All Finance and Budget monetarily related processes/procedures Associate Director fall under the umbrella of the Business Manager to include purchasing, of Budget and processing of payment vouchers, daily deposits, petty cash, grants, Finance to be contracts, budget preparation, budget amendments and budget responsible for maintenance. overseeing all monetarily related activities within the Department. We suggest that . Patient Care Management System is used for daily collections and one of the near billing for patient accounts. term priorities of . Microsoft Excel is used to balance Daily Revenues received this position are to . Chameleon is used for daily collections at Animal Control Services establish a system . NHC looking for a new system to monitor and collect accounts receivable. 12 . . . NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 . The budgeting process should be . Budgeting process was somewhat different for the FY 2004-05 examined and budget/fewer copies of the Budget Workbook were made for FY05 due to revised as streamlining of the budget process. This was a cost savings to the necessary to department. reflect and . Business Manager arid the Accountant, and other Fiscal Operations reinforce the Staff worked with each Division Manager to compile the budget for FY strategic plan. 2004-05 . Business Manager met with County Budget Personnel regarding FY05 Budget for Health Department. . Several existing budgets were consolidated for FY05. This should allow for ease in auditing and tracking revenues and expenditures for these programs. All billing, . Billing Unit reviews daily activity for patient accounts. accounts payable . Grants and Contracts are centralized with Accountant. and receivable, . Purchasing is being centralized in Fiscal Operations Unit budgeting, and grant and contract administration should be united in the Finance and Budaet Office. Grants and . Policies and procedures being developed contracts should be viewed as endeavors and commitments of the Department. The Department should develop a policy and process for reviewing all grant or contract applications to determine their appropriateness and potential contribution within the context of the mission and priorities of the Department and for the administration of grants and contracts. The Health Department should . In process develop a . Revamped Request for Board Action Form consistent, . . 13 NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 reasoned approach to determining the indirect costs of grants and contracts and distinguish between recoverable indirect costs and matching funds. A consistent fee . Ongoing. Many changes already implemented. policy, including . This process is initiated through our Multi-disciplinary Committee the applicability of (PHS) with recommendations brought forward to the Board of Health and co-payments, ultimately the County Commissioners for their approval. should be . Open Access Scheduling developed and . Fee policy updated adhered to uniformly across the Health Department. The policy . Financial eligibility determined consistently regarding fees paid by UNC- Wilmington and Cape Fear Community College students should be reexamined. The NHCHD . Business Manager met with County Budget Personnel to discuss should initiate a expectations, responsibility and accountability joint meeting with . Business Manager and Health Director met with County Finance County Finance Director to discuss expectations, responsibility and accountability and Budget staff to . Business Manager met with County Finance Director to discuss clearly identify Fiscal Operations Staff being able to key on-line into LGFS system. roles, Finance Office working through details. responsibilities, . Ongoing expectations, and accountability Recommendation . Training of staff: 8: Strengthen . as Technologies provided training to data entry staff information . Software applications in place according to need systems . Using new technology continually under review management and . Hardware applications in place according to need resources. . Centralized administrative support . Assessino staff skills in infonmation technoloov 14 . . . NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 . . Reclassified an Administrative Support Supervisor position to an Information Systems Support Specialist . Addition of Information Systems Support Technician . Improved Equipment/Software Inventory database . Testing use of GWI for Program Support Requests . Acquisition and implementation of HART System for Vital Records (on-line with Register of Deeds) . Health IT met with County IT to discuss technology plans for the health department. . Health IT staff were invited to participate in the County Database Document Management System (DDMS) Committee in which they attended meetings and demonstrations presented from various vendors being considered for their Database Document Management Software. . The DDMS Committee has reached a decision and the bid is being awarded to One Source, Inc. for their Laser fiche application. Additional components available with the Laser fiche application include workflow and electronic forms. . The Health Department to serve as a pilot for this project. . HIPAA privacy in place; security issues being addressed. . Video Conferencing available through PHTIN and NCIH The Office of . Have found alternate resources and other instructors outside HD Information . New position created during reorganization; second new position Services and being requested from school health Administrative . Additional training reflected on performance appraisal Services should have as one of its primary functions the training of staff in the use of technology hardware and software. The skills of . In process. Some skills identified, but could do more networking. current staff, regardless of position, should be engaged to the greatest extent possible so as to leverage current Department resources. We strongly . Ongoing review by Support Services Division suggest that the . PDa's reviewed with JPA 2004 roles, responsibilities, and reporting relationships of the Administrative . . 15 Support Technicians be examined and clarified. The QS system should be subjected to a cost-benefit analysis to determine its relative value to the department. If the system is maintained, training in QS access should be provided to all management staff in order to encourage access and use of the data. Recommendation 9: Centralize and strengthen health education, training, and communications capabilities. The Health Department should consider appointing an Associate Director of Education, Trainino, and NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 . . To be addressed by QA . State System under review . Reclassified Assistant Health Director position to Health Programs Administrator . Reclassified Senior Health Educator to Health Education Supervisor . Installation of Video-conferencing equipment . County government education: In process (what our staff should do to educate the county) . Marketing to be addressed . Health Programs Administrator to coordinate media contacts . Relocation of Health Promotion staff . Health Programs Administrator will coordinate with staff . Continuing education opportunities . Coordinating workshops for e.g.. Emerging Infectious Diseases held at Cape Fear Hospital 9/16/03 . Internet access to educational opportunities for ex: UNC Institute of Public Health available on web . Myers Briggs Training for Staff . Incident Command Training for Staff . County Training Sessions for Staff . Media Communications Plan Policy adopted on February 10, 2004 . . Reclassified Assistant Health Director position to Health Programs Administrator . Health Programs Administrator will coordinate media contacts . Dental health addressed by coordinating a grant proposal for pediatric dental health services . Created new Health Planner position . 16 NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 . Development to be . Continuing education opportunities: Internet access to educational responsible for opportunities for ex: UNC Institute of Public Health available on web health education . Working closely with AHEC for workshops (Myer's Briggs, and health Bioterrorism) promotion activities, staff training and development, and public relations and public information. The Human Relations staff should report to this position. The relocation of . Relocated Health Promotion staff in January 2004 health education to a more central role in the Department and co-location with training and public information and communications functions would serve the citizens more effectively and represent more effective utilization of staff. The Health . To be addressed Department should . auality assurance committed formed develop a . Accreditation required standardization and we are looking at these mechanism to issues for the future plan, coordinate, . Training log being developed by Policy Team and evaluate continuing education and training for its staff. One major priority . Accreditation involved County Commissioner and Board of Health, in this area should along with Assistant County Manager be to educate . Annual Report and Departmental Brochure developed County . Included in County Budget Report government staff . Participated on NHC Customer Service Committee and the County Commissioners about the services and impacts of the NHCHD. Recommendation . Revised Dress Code oolicv on Aoril15, 2003 . . 17 NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 10: Conduct a . Revised Flexible Workweek Schedule August 2004 comprehensive . Adopted Fund Raising policy on May 6, 2003 review of . Adopted Media Communications Plan policy on February 10, 2004 personnel . Revised Parking policy on February 10, 2004 (human . Board of Health adopted Public Contact with Board of Health policy resources) on September 3, 2004 policies and . Board of Health adopted Reduction in Force policy on June 4, 2003 procedures and . Revised Sick Leave Policy on April 22, 2003 develop a written . Staff training: Myers Briggs handbook that is consistently . Basic Supervision Workshops - two have been held at Cape Fear Hospital, one in December 2002 and February 2003 interpreted and . Single phone/voice mail reviewed: EH moved; open access clinics applied consistently . County devised form to be signed when hiring with grant monies throughout the . On-going process with policy, changes in old and developing new organization. . Personal Health Services: Less divisions, less interpretations . More in-depth discussion . Lunch periods addressed . Uniform time accounting . Exempt/non-exempt flexibility reviewed . Flex-time schedules: Surveys of staff completed . Overtime/compensatory time reviewed . Customer Service Training The purpose of . Continuously reviewing this issue monthly time accounting . New teams, new supervisors in transition should be clearly . Added categories of coding daily activities so as to capture time identified and spent evaluating food services plans and issuing/denying food service articulated to all permits staff, particularly . Developed cost centers to account Mosquito Control Program staff emphasizing time spent fulfilling US Army COE contract procedural differences resulting from job functions and responsibilities. The Department . Management team discussed; staff expressed discontent with should develop, accounting of time between exempt and non-exempt personnel; no change apply, and enforce made a consistent and uniform policy for accounting for staff time. Consistent with coverage and . Adopted Flexible Workweek Schedule policy on November 18, service 2003 requirements, . Revised August 2004 establish and implement a consistent oolicv of 18 . . . . . . NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 "flex time" in the Health Department, including giving employees the option of 30 or 60 minute lunch periods. Positions that . To be addressed by County Staff require evening and weekend work should be systematically assessed to determine a fair and equitable policy for either overtime payor compensatory time off. We suggest . Revised Sick Leave Policy on April 22, 2003 establishing a more "user friendly" procedure for employees who have to report in sick. We encourage the . County has devised form to be signed when hiring with grant Health Department monies to work with the New Hanover County Human Resource Department in developing a clear and consistent policy regarding staff hired on the basis of grants and contacts. We suggest the . Uniform allowance eliminated on June 30, 2003 NHCHD Eliminate . Revised Dress Code policy on April 15, 2003 the "Uniform . Purchased lab coats with logo/shirts with logo ordered Allowance" and . New employees receive two logo shirts reexamine the dress (color) code for public health nurses. ]9 NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 Each employee . Reviewed. Cannot address without adequate funding should have one . Staff will be polled as to voice mail boxes phone number and one voice mailbox. We suggest . Ongoing training all . County workshops attended by supervisors supervisors in the . Upcoming training of Supervisors mandatory appropriate Department and County personnel policies to assure consistent and uniform application across the Health Department. Recommendation . Space Allocation & Utilization Team in place (C. Hewett, J. 11. Review McCumbee, D. Rice, County IT Rep. And Property Mgmt. Rep.) current space . Vector Control Building built June 30, 2004 allocation and . Spay-Neuter Facility to be completed by June 30, 2004 use and explore . Physical relocation of Environmental Health Services to alternatives for Marketplace Annex improvement . Request made not to overlook mail area re: security purposes for given existing incoming/outgoing funding and . Centralized mailboxes resources. . Clinic space: Space Allocation & Utilization Team . Physical relocation of Care Coordination, IT, Stockroom/Supplies and Billing Staff to 2nd floor . Physical relocation of Community Health, Health Promotion and Program Support Staff to 151 floor . Relocation and realignment of Customer Care staff . Expansion of registration area . Checkout Counter for Clinic Services . New furniture for Auditorium . New Copier for Medical Records and General Staff . Relocation of Inactive Medical Records to 2nd floor . Clean-up of Hallways . Disposal of un-needed furnishings and equipment . Installation of Building Security System The Health . Done (Space Committee.) Department should . EHS relocation in August 2003 to Market Place Annex freed space develop a in Health Department for other uses rationale, criteria, . Space Allocation & Utilization Team (C. Hewett, J. McCumbee, D and mechanism Rice, County IT Rep. And Property Mgmt. Rep.), looked at team numbers, for the allocation 20 . . . NEW HANOVER COUNTY HEALTH DEPARTMENT Organizational Analysis Update - September 2004 and utilization of space in the building. services provided, etc. to allocate new space; supervisors assigned cubicles and offices, arrange files etc. in their space . Space Team and staff have completed moves, teams are together (for the most part) . Clinic space still under going changes for Open Access Clinic . Major clean up of facilities, much improvement, no hallway clutter New stockroom, and new store room . . . 21 i , " . . E ~ -a c ca .. o E ~ I: . .. E as Ol :r: '0 j t ~ E 5 m o c:r: r.... 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" i f 3- 0' ~. ::l III it - ~ ~ 2" !!l. o ::l " g m IJ) 'V --,- . . . . . OVERALL PERFORMANCE RATING , , Above Expected Needs 'U~i Exceptional Expected I Improvement (2) " (3) (4) (5) (1) Health Director's Signature Board Chairman's Signature Date of Evaluation Evaluation Period NHCHD 9/00