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$5,681
. [ Funding Source: The University of North Carolina at Chapel Hill
Will above action result in:
DNew Position Number ofPosition(s)
Dposition(s) Modification or change
/ZINo Change in Position(s)
I Explanation:
I Attachments: Budget Amendment
.
9
'i
'-
'E
.l!!
:;
III
e:
0
Co)
.J::
-
OJ
CO
I- w J:
Z ~ l!!
w '"
:E ~ Co)
Q :!2
Z :E
W w Co)
:E ~
<C
I- z
w
W ~ 0
~
C) Il'l
Q
::::l 0
m z
:>
W ... 0
::::l ~
. ~
Z ~
W
>
W I;;
a: g~
:>
'"
i
C)
z
~8
:>-
olE
Ull.
~
!z~
Ww
:;'"
:>:;
0:>
OZ
0
~
z
w
'" ~
~
11 '"
0 ~
'"
0
;! z
'" 0
.,; ;::w
~ 00
~ ~o
. u:
b zO
z ~
0
0
......
CO
I-~- <0
Zo~ .0
~~
:2:z0
<C ",-0
+ .. +
0 ,
OI--l--
WWZ
(/)(!):J
-00
fib::!;
O::ID<(
1--1--1--
Zwz
W(!):J
0::00
O:::J:iI!
:JID
Co)
I--
Z
~
:J
Ww (/)
:>u Z
z~ 0
~:> Co)
wO
~1Il J:
I--
...J
~
J:
W
0::
<(
Co)
0
...J
:i:
Co)
~
;S;
'"
~
;:;
.... 0
0 0
<( 0
'"
.
-z
Zo
11i;:: Il'l
M Il'l
~
Il'l
Z a.
0
;:: ...J
W
~ J:
-,...
.-z
~
""
'J
!Is.!!
"'''''''
oop
E
l.'!
e
a.
-
0.... e:
wW .l!l
cnC) :;
-0 III
>::) e:
~'" 0
...J Co)
;!: =
OJ
~ co
J:
l!!
.9!coco '"
""-- Co)
. ""-
I--i-i= :!2
:E
Co)
1::
8.
0.
'"
III
.E
Il'l
0
g
>-
u.
.E
.5
g
'"
~
E
e
-
III
"
e:
.a
~
co
~
Q)Q)co.. e z
EEE.!! -
co Q
co ctJ ctI co '"
ZZZO " !;(
'"
(ij....:...:"iO .c :!i
>>.cu> 0 a::
o a:I > 0 I--
6,.-c2a. 0
Q.~c.~ U.
<(coo. Z ~
-:':<(e: 0 ....I
'" . 0 ~ <(
c C"en Z
co . III
E lD.- Z 0
1:: E :5 j::
'" E is
0. 0 a.
co Co) 0
10
I-
Z
w
:E
Q
Z
w
:E
<C
I-
W
C)
Q
::::l
m
w
(/)
z
W
Q.
><
W
'"
~
'"
'"
o
'"
o
'"
'"
'"
.,;
~
~
u:
>-
o
z
o
o
'E
.l!l
:;
III
c:
0
t)
.J::
-
OJ
CO
w J:
:; l!!
~ '"
~ t)
;:: ;g
Z .J::
W t)
>-
U
Z
W
~ 0
~
Il'l
0
Z
:> 0
...
~
~
~
....
w
C)>-
0...
:>
'"
~
:;
C)
z
-0
!zQ
:>~
OW
Ull.
~
....
z~
Ww
:;'"
:>:;
U:>
oz
0
>-
u
z
w
~
'"
w
Z
0
;::w
Uo
~O
zU
~
....
I-w_ ......
CO
Z-'1Il <0
::::l0~ 1.0
0"'5
:2: ~ c5
<( ",-0
+ .. , +
0
OI--l--
wwz
(/)(!):J
~oo
:J::!;
O::lD<(
1--1--1--
ZwZ
W(!):J
0::00
O:::J::!;
13lD<(
(/)
I-- W
t) :J
W a.
..., a.
lD
0 :J
(/)
...J
~
Z
W
::!1
I--
0::
c:
W
0
0
~
'"
~
~
:>
;:: 0
U 0
< 0
'"
... ,Z
000
I-D::i=
_0.$
Za.~
:><0.
-'-Z
~Q
~~ Il'l
Il'l
~
Il'l
Z a.
0 ...J
;:: W
U J:
<
0....
WW
cnC)
-0
>:>
~'"
...J
;!:
o
....
'E
.l!l
"S v.i
Ul CD
c: III
o c:
t)CO
.c~
1ijQ)
CO-
J:~
~ ~
",-
t)'E
,,'"
=~
.cO
t)-
CD'g
.c III
- '"
1:: co
8,.0
0.=
iil ~
,g~
Il'l'"
o~
g",
>--g
u..a
.9",
c: c:
;:~
0'"
"'E
OCD
~o::
E cD
.g ~
III E
"'"
c: ~
"''''
-e
~ ~
00
--
E 5 ..
_-z
CDOo
C'J.~_
"01-
"'~<(
m >...:...: 10 .c ~ :&
i; CD ~ f) ~ c: 0::
'-'00'- rn 0
a. 10-0. a.LL.
a.~c..o...oz
<( CD 0.<( Z - _
OJ:':<(aQ.!!!...J
'E 0.-1-",<(
CD . ~ <( z
E lD._ZCDO
ffi ~:5~E
a. oQ.uC
Q) U >< :; C
.~
~
~
.!!.!!.!
"'''''''
000
~Q)Q)
---
i=r=~
Q) OJ Q)"
EEE.!!
co ctI ttI co
zzzo
.9
"
CD
III
'"
CD
.0
''i
III
"
c:
:>
U.
E
l.'!
'"
e
0.
"
J
.
.
11
,
,.
.
~.
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. U en en
, ,
::iE ::iE ::iE ::iE
en en en en
ii: ii: ii: ii:
0 0 0 0
0:: 0:: 0:: 0::
0:: 0:: 0:: 0::
W W W W
l- I- l- I-
0 0 Q 0
05 05 00 05
N ~ ~ ""'
""' ;g
It) It)
""' ""' ""' ""'
~
2:
I- 0 0 0 0
~ 0 0 0 0
0 0 0 0
N N N N
-'z
~Q
~~ ~ ~ ~ ~
""' ""' ""' ""'
~ ~ ~ ~
It) It) It) It)
z a.
0 ...J
t W
<( :I:
-
<::
w 0
""
~ ~
-
'"
~ '2
~ 'E
w ~
>
()
z
w
Cl 0
<( ~
It)
0
z
::> 0
...
~
~
~
I-
W
8~
::>
ID
~
:;
Cl
z
-0
lzo
::>-
offi
<.>0-
~
lzo::
Ww
:;ID
::>:!
()::>
oz
0
>
()
z
w
~
ID
0::
Z
0
;::w
~o
",0
z()
~
>-
....
.::;,
""-
"
SQ)Q)
",--
~"''''
~oo
01-
WW
cnC>
-0 ...)
>::l
~ttl
...J
f!: ~'
0 ~ E
I-
~
Ol
.9!GlGl e
:t::!;:i; Co
I-i=i= E
In
'"
e
~
Ol
6
:s
~
t::
8.
Co
::J
In
.9 .:
~ 0
'" ""
.l!!
'ijj <::
'-' Ol
l!! E
~ ::J
'" In g
--...;, "0
l: "0
.;:! Ol
- l:
l: :e
~ 0
C!) Co
Co
E ::J
en
CUQ)Q)" en Z
EEE's Qj Q
co ca C'O ca Ol
Zzzo "0 !(
::J
i;j",-,i;j .c :E
~~~~ 0 0::
I- 0
....io....
Co ~Co U.
Q.>oQ.Q. Z :!:
<l: Ol Co<l:
-~<l:l: 0 ..J
'" ' 0 ~ <l:
'E e'en z
Ol , In
E 00,- z 0
t:: E S j::
'" E i5
Co 0 D-
Ol u Ii';< 51
13
~
z
w
:::E
c
z
w
:::E
cC
~
W
C)
C
:J
III
W
I/)
Z
W
D.
><
W
~
~
o
w
~
"
;!;
~
~
'"
b
z
o
o
'"
w .Q
~ m
~
-
In
~ '2
'E
lz ~
w
~
z
w
~ 0
~
It)
0
z
::> 0
...
~
~
~
tu
8~
::>
ID
~
:;
Cl
Z
-0
lzQ
::Jo::
Ow
(Jo.
(J
<(
lzo::
Ww
:;ID
::>:;
g~
0
>
(J
z
w
~
ID
W
Z
0
t5w
;Jig
r
~w- I'- 0 'It co C') 0 0 0 N 0
LO I'- LO CO N 0 0 0 'It 0
Z....", 0 C') .... 0 .... LO 0 0 co 0
::> 0 0:: 'It M N r-: C') 0) ai co 0
O~~ 'It .... N .... ....
:E zO
<( ",-0
+ ... I + + + + + + + + + +
0
OI-l-
wwz
cnC!)::l
500
W::l:;;
O::OO<l:
1-1-1-
zwz
wC!)::l
0::00
0::::l::iE
GOO<l:
W
W
>-
0
...J
a.. W I-
::iE en z
W z W
!> W W en :;;
I- a.
en ~ u W a.
U W 0 Z ::; 5
W en ~ C!) W a.
...., W W ~ en a. 0
00 ~ ...J U ...J W
0 <l: ::l Z I- ::l
~ U Z W z en ~ ,
~ en ~
0 z a. W ...J
0 ii: ...J - ~ ::iE ~
, ::l ~ a:
z ::l I- en z l- I-
<l: U z :!: ::; W ::l W all ::l
W W Z 0 0
en 05 0 ::iE C!)
W en ::iE ...J W ...J
ii: ...J W <l: ~ :I: , I- Z ~
<l: 0:: U a. 0:: Z
~ i3 ~ i5 i5 W 0:: ~ ~ ii:
...J o1l
c:; 0 w ~ W w <3
en 0:: :;; I- ::iE 0 I-
0 0 0 0 0 0 0 0 0 0
0 0 ~ 0 ~ ~ N ~ 0 0
0 ~ N "" "" CD (J) N N ~
~ N N N N "" "" ~ It)
~
:>
~ 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
N N N N N N N N N N
....z
000
0::-
!:::Q.~
zo..-
~<g:
-'z
Zo
<(-
~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
"" "" "" "" "" "" "" "" "" ""
~ ~ ~ ~ ~ ~ ~ ~ ~ ~
It) It) It) It) It) It) It) It) It) It)
z a.
0 ...J
t W
<( :I:
01-
WW
cnC>
-0
>:::>
~ttl
...J
f!:
o
I-
E
In
."
g
Ol
6
:s
~
.Q
t::
o
a.
a.
::J
In
.9 C
'C~
~.l!!
.~ ~
::J
~ g
"'"0
.;:! Ol
- '"
c::e
~ 0
CIa.
-S! ::J
",en
liS ..
_Z
:g,Q
"01-
::J<l:
c;; .. '-' c;; .c :E
e~~e~~
a."Oea. U.
c..~Q.c...z
<l: Ol~<l: z_
19 ~ '" 0 ..J
'" c:i.Q j:: <l:
Ol .lZ<l:Z
E oo'-zo
t:: E S j::
[ g a.. i5
Ol U >< 0
"'-
"'-
"\
~
.~
~S.!
'" '" '"
000
~
\
~
(~
\
\, ~ ell CD
~~~
Ol Ol Ol ..
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.
COMMISSIONERS' ACTIONS/COMMENTS:
Approved 4-0,
13
24
..
.
.
....
z
w
:liE
c
z
w
:liE
-<
....
w
Cl
c
:::)
III
W
In
Z
W
Q.
><
W
i
C>
z
~g
:)-
8~
~
!za:
Ww
:!CD
:):!
0:)
gz
~
z
w
on ~
;:;
~ CD
lil w
~ z
on 0
g tw
:j or:( 0
Li: 000
b Z ()
g g
I
~
W
I-~ "<t r-
OO CO
Zo ~ to
5~ LO
...J .....
:!:z 0 cO
<("" c
.....
+ ...
0 , +
Cltul-
w z
(/)C)::>
iriClO
a::~~
I-tul-
Z Z
wC)::>
a::ClO
a::::>~
::>III
c.>
-
I-
Z
W
I- :<
c.> c..
w 5
..., 0
III
0 W
,
~
I-
::>
0
...J
~
ii:
<3
0
0
C3
r:
>
~ 0
0
0
N
"'0 Z
0
oa: ~
!::a.
za.
:)<( a:
a.
,
Zz
<(0
~~ ~
'<t
~
'"
Z c..
0
~ ...J
W
:I:
c.>
~
01-
WW
(/)(9
-0
~::>
o::Ul
....
i5
o
I-
~
z
w
~
o
~
'"
c
!5
... 0
~
~
~
l1i
8~
:)
CD
?'
~'
c.>
~
~
"
S CD CD 0
~--
c CD CD .5
Cl Cl III
In
"
~
.E
l'!
,s
"
0.
E
8
Ql
'8
E
o
CXl
N
)(
Cl
)(
III
ii:
:a
o
~
'<t
~
I
'"
.'
~
~
r'~-::
\,
!.!L.9!
.---
I-i=i=
III
In
CD
.s=
~
"
0.
.s
,s
J!! -g
(/)
III .s=
:5 0
E ~
e
...,;;;'S - c:
-g .2
> 19
'Iii c:
0 III
::::; l!! E
"
Ol g
c:
-4 '6 'C
c: Ol
-'-- .a c:
~ OJ :e
< 0
c: 0..
,. 0
-. ;e 0.
"
'C C/)
~ III III .. 'C
CD Z
EE's Qj
co co n:J m Ol 0
ZzZCl 'C ~
OJ .. ..m ..5
:E
e ~~ ~ ~ II::
c.."O ~ a 0
~~c..c. .. Ll.
III 0.<( Z ~
Oj~<(c:O ..J
_ . 0 -
c: Cl.- I- <(
III .:Z<( Z
E III'-Z '0
t:: E:sEj:
co E {!-
c. oD. Q
III c.> e Q
25
....
z
w
:liE
c
z
w
:liE
<
....
w
Cl
C
:::)
III
W
:::)
Z
W
>
w
0::
'"
;:;
a:
<
c
w
c
<
"
'"
.,
~
~
Ii:
b
z
c
c
..,.
~
I- w- CO
Z _HI) LO
:;j0~ .....-
oL (Xl
:!:ZO .....
<( ",,0
+ .. , +
0
CI-I-
WWZ
(/)C)::>
-CO
i]j::>:<
II::IDe(
I-tul-
z Z
wC)::>
II::CO
11::::>:<
aIDe(
Ww
:)0
Za:
~5
a:'" I-
Z
~
C)
:I:
I-
....J
is
:I:
c.>
~
N
0
~
<"l
I 0
0
0
N
-'-z
Zo
~;:: ~
gjrs '<t
~
'"
Z C-
o ...J
~ W
:I:
w
:!
~
~ ()
~ ~
w
~
Z
W
~ 0
~
'"
0
z
:) 0
...
~
~
~
l1i
8~
:)
III
~
:!
C>
z
~8
:)a:
8~
0
<{
!za:
Ww
:!III
:):!
0:)
gz
~
z
w
C>
<C
III
a:
z
0
tw
<cO
",0
zO
~
t-
-,,-.
= c.>
---
IY, ~ ..'
-
" ~
"
,!Y. Q) OJ 0
",-- .5
c"''''
CC III -
(/)
"
~
.E
l'!
,s
"
c.
E
8
Ql
"8
0.... E
WW ..J... 0
(/)(9 co
-0 N
>::> )(
l:!m C)
.... ~
i5 ii:
0 a
.... 0
.!!G,)Q) Ql
C
t=~~ '<t
~
III
(/)
'"
.s=
~
"
c.
.s .
,s
J!! -g
(/)
III .s=
.s= 0
- '"
E ==
,g '"
c:
~ 0
..
J!!
'8 c:
CD
l!! E
"
Ol 0
c: 0
'6 "C
c: Ol
.a c:
OJ :e
c: 8.
0 c.
.. "
'6 C/)
"C
III III III ,. '" Z
EEE's Qj 0
mcumCO Ol ~
ZzzC '0
"
(ij..~'iU .c :E
> >. n:I > {:. II::
om> 0 0
.....-g 0 ~
c. ~o. IL
C. 0. Z ~
e( a'i' o.e(
-~e(c: 0 ;i!
J!! '0 ~
c: o "en z
III '(/)
E llJ ,- Z '0
t:: E :sE-
'" E ~t: .
c. 0 D.~C
III c.> I~ 5.15il
26
..
.
.
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
REQUEST FOR BOARD ACTION
Meeting Date: 09/20/04
Budget Amendment
DEPARTMENT: Health
BUDGET AMENDMENT #: 05.0044
ADJUSTMENT
Women, Infants & Children (WIC):
WIC Health Grant
DEBIT
CREDIT
$18,756
Capital Outlay
$18,756
EXPLANATION: To budget additional funding received from the state to purchase 14 Dell OptlPlex GX280 model
computers for use In our WIC program.
ADDITIONAL INFORMATION:
APPROVAL STATUS: To be approved by Board Of Commissioners
COMMISSIONERS' ACTIONS/COMMENTS:
Approved 4-0.
14
27
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:U Consent Meeting Date: 10/18/04
Agenda: ~
Department: Health Presenter: Cindy Hewett, Business
Manager
Contact: Cindy Hewett, Business Manager, ext 6680
Sub'ect: Bud et Amendment in the amount of$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
.
.
I-
Z
w
:ii
c
z
w
:ii
c(
I-
W
C)
C
::::l
m
w
::::l
Z
W
>
w
a::
~
~
~
<
Q
w
~
~
~
J
J
~
~
Q
Z
Q
Q
00
.....
I-w_ .....
-
Z -,en .....
::::l00:: .....
o~~
~ZO
<( ~o
+ .. I +
0
ClI- I-
UJUJZ
en~=>
-00
CU=>:;
O::al<l:
1-1-1-
ZUJZ
UJ~=>
0::00
0::=>:;
Bal<l:
Ww
=><..l
Zo::
~5
0:: en
I-
Z
~
~
UJ
~
en
"<t
N
N
'"
~
~
I- a
~ a
a
N
-'z
Zo
~~ "<t
N
~
Lt)
Z a.
0 ...J
;:: UJ
~ :c
.r;
-
iij
Q)
:c
Q)
>
""
c
Q)
>
w ~
::;; a.
~ en
.c
~ Q)
E
;:: 0
Z ;::
W
>-
<..l
Z
W
~ a
~
Lt)
0
Z
=> a
u.
~
~
~
I-
W
g~
=>
m
~
::;;
Cl
Z
-0
!zQ
=>0::
Ow
<..lll.
<..l
<(
I-
Zo::
Ww
::;;m
=>::;;
<..l=>
OZ
0
t;
Z
W
Cl
<(
m
0::
Z
0
tw
<(0
enO
z<..l
~
I-
~
-
-1l. .!:
-
en
~ 8
Q) Q) Q) "
C6C676 Q)
000 en
10
~
"
.!:
Q)
.r;
-
.9
>-
Q.
c.
10
':, .9
"
c
Ol- IO
wW en
cnCl U;
-0
>::J ~
~'" c.
-' 10
~ C.
ui
0 Q)
I- >
a
Q)
.!!Q)Q) "
--- l!!
~~~ -
c
0
"
Q)
en
10
.r;
e
=>
c.
.9
~
10
U5
Q)
=
E c:
.g 0
" ~
Q) "E
> Q)
'ijj E
~ =>
"
en 0
" "
c 0)
.a c
iij 'E
0
c c.
~ c.
::>
'C en
"
Q) Q) Q) .. 10 Z
EEE~ a;g Q
m m co cu 0)._
ZZzO ,,- <
::> en
.c~
(ij..:.,:'iU 0.0 ::i
> >- (Q > 0::
000>0 1-.!!1
~alo~ 0 0
c. ~c. u..
Q.>.c.c.. z~ ~
<I: Q) c.<I:
-:.:<l:c 0" ..J
10 . 0 _c <I:
"E 0 '(i; I- 10
c( 10 Z
Q) . en 0
E al'- z'-
t::: E :s-g, j::
10 E lI.. ~ is
c. 0
Q) 0 l?:'i :;; 9
29
l
I-
Z
w
:ii
c
z
w
:ii
c(
I-
W
C)
C
::::l
m
w
II)
z
W
D.
><
W
~
~
~
<
Q
W
Q
~
~
~
~
~
~
Q
Z
Q
Q
I-w_ 00
.....
Z -,en .....
::::l00:: .....
0"':5
,!:-, .....
~zo
<( ~o
+ .. I +
0 OI-l-
UJUJZ
en~=>
-00
CU=>:;
O::al<l:
1-1-1-
zUJz
UJ~=>
0::00
0::=>:;
Bal<l:
I- en
UJ
0 ::::i
UJ a.
...., a.
al
0 =>
en
...J
;:
Z
UJ
:;
I-
0::
~
UJ
0
a
~
N
'<t
~
;;;
;:: a
~ a
a
N
u. ,z
000
I-a::~
_ll.:$
Zll.o::
=><ll.
-'-z
Zo
~;:: '<t
M N
~
Lt)
Z a.
0 ...J
;:: UJ
<..l :c
<
=
iij
Q)
:c
Q)
>
""
c
Q)
>
w ~
::;; a.
~ '"
-c
~ Q)
E
;:: 0
z ;::
w
>-
<..l
Z
w
Cl a
< ~
Lt)
0
z
=> a
u.
~
~
~
I-
W
g~
=>
m
~
::;;
Cl
z
-0
!zQ
=>0::
Ow
<..lll.
<..l
<
I-
zo::
Ww
::;;m
=>::;;
<..l=>
Oz
0
>-
<..l
Z
w
Cl
<
m
w
z
0
;::w
<..lo
<0
~<..l
~
I-
01-
WW
cnCl
-0
>:J
~'"
--'
~
o
I-
'"
"
c
.a
iij
c
o
""
'5
"
10
- c,Z
~.!: 0
"'C1i)t;
.5.s!.....
~ >'15 ~ o.c::E
K;e[~~~
.:t ~ li.:t z ~ ~
-:.:<l:co"c..J
10 . 0 - _
'E 0.-.... ctl .......
Q) en <I: 10 Z
E ai.!!1 z'- 0
t::: E:s-g,j::
10 E lI.. E C-
c. 0 10
Q) O><:;:C
"'-
~
'"
~
':S--
J!!SJ!!
10 10 10
000
'--
.!!Q)Q)
---
i=i=i=
Q) OJ Q)"
EEE~
n:l m co ctI
ZzzO
.!:
U;
o
"
"
Q)
'"
10
~
"
.!:
Q)
=
.9
>-
Q.
c.
10
.9
"
C
10
'"
U;
~
C.
10
C.
ui
Q)
>
a
Q)
"
l!!
"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.... Cd'5
~ .~"E
c .2! as
~ oS
~ ~~
2 2i::::J
Ol (/) 8
~ ,~
'OoOl
i!! -gg
Ol_as
.c Ol:r:
E:2:~
Ol 'Ol
:2: 02
. u..~
~ ~
c;
o
C\l
cD
~
Ol
.0
~
o
~
~
l!!
i5
.c
=<
m
:r:
2f
a:
ui
-c
'5
as
o
'0
c
o
~
::::J
~
~
o .!
5l
o
"0
c
Ol
Ol
~
,I:
Ol
E
.s
~
E
~
~
Ol
lQ
.!!l
a.
g
.e
l/l
:E
-
.Sl
Q)
a.
E
8
::::J
~
~
Ol
~
*
a.
E
8 '
0""
_0
::::JIS!
~lli
Cl~
c ~
.- Ol
":':.0
lQ~
~o
-:>.
E~
oa.
.....0
c-
,12 ~
l6C
::::JOl
-i
~a.
rei
l/l
:Oi
~ ID
- '"
()-c
C-c
Was
C Ol
oE
~ i rg
5UOl
Oll/l
~ ~ as
EOlOl
.c. n
::::J. ......
l/l C '
_asS::
'~~ 5
~.....
~Olc
~,Q
- 0 16
~ 0l::::J
'5 .1: iii
Q).c>
~>.Ol
OlcOl
~as~
'0'0'0
cg>as
0,- Ol
.-... ~
'Sl!!as
c.asc:
EOlOl
8'~ E
OlE
c::::J8
00
a.:>.c
::I ..... .-
-~
cD . Ol
C\l <">.O!:
....~ta
~Ear
-aOlc
u>~
000 .
c 2 !!Z!Xi
o c',,; 10
0~1O
l/l l/l.
C.c Qm
.12 ~..sm
16 as ""
Ol l/l l/l
..2:r: c ,-
~-o lillii
Ol as .c
Ol"El!!E
(/) as () ::::J
Ol 0'- c
.cco:t::
- ()Ol
~OlOlc
Ol.c a.o
'5 - l/l.c
Ol.l3IDar
_UJ.2Q)
== C) 0)_
~ .1: 5l ~
Ol'Oas""
OlcOl .
....q:::_l/l
:c-ca.c
Ec":~
Eas-a~
o l/l U c
ocas8
0-
Ol""Ol~
.... as o::::J
";'0 cO
:5 c as:>.
()OlS::Cl
.~ E t: c
WE.g'E
Ol8Olas
.c a.Cl
t-l!!asl!!
::i
IS.
.x
c:
'"
.c:
I-
.
iii
1/1
.! .,
'E! .~
0.
., e
<( ~ 0.
CD ~
0.
U ., .c:
C Ii 0 l
as ] ~ c
. E 8l 0
.. GI I tl
.g u ., '"
c: 'iil' -= j
CD ~ c 'l5
a. ~ II - c:
.. 0 ~.sd
~ ~ ~ 'C: ~ ~
~ 'S "iB
! 0 ~lij "C
~ 'iil'1 "C Ul"g :>. c:
is .C: .12 '"
'" ~ '" 0 .12
lII~fa~ ~ Ul := ,., 0. :is
.c I ol~ ~ ~ c:"C 11 ::J
~ ., O~ .8 0.
as lil r .c: 11.c: .,
CD is 8i .80> 'l5 -=
:I: .c: 6 ,S ~
1! ~j .= ::J ~
'" .!3 ., ~ c:
., -=~ J!! 0
I c: tl ::J
- .5 ~
><18:8.5 ., 0 ,Sc: ., '"
il~fj -= ~ '" 0 -= "C
I E ~J c: m
~ '"
!c~,e.E ~ .is I!!
'iil~l!.s '" '" Ul ~ 0 il
~ j c: c: 0. E
c ...... ,Q 0 11
~ii~~ .c: ~ '1a "C '"
::J 'l5"g c: .8 E
IS. '" '" j
-= ~ '" ~
G'-!.GI~ '" o.E of!
~1~1~ l!! .Ii I!! E 0
'" ~ '" 0 e- o. I
'" l5~ J!! 0.
.c: .5 ::J
! o.ts - (J) :J
Illi! .5
. g GI
c: a: ..: .,; ..; .; iii
'"
'"
..... 1il
a. <t
'"
'"
.
.
oj ~
E :E
e! III 'E ffi S:!
~ E to
.r: to "t:l ;:]
,. . a. .g C. .g ffi :if
- :is
,55 ::l ..: 2t l:! al
i oj a. <:: en
., ~
<:: Cl E C C ...
l!l <:: .S2
'0. ~ 0) 8
.., E 0 Cl '0 en
a u 1 l:! S:! c:
. t ~ a. 16 0
.5 c. to ~
8 " c ;:]
" " "t:l :if "t:l
:r <:: <:: 0) ffi c:
.'5 = ., ., € al 0)
., Cl <:: - E
t '5 <:: 0 c:
':>' "" l! 0) .s:: E
i " ~ OJ ..~ ~
1jJ l 0)
Xl "t:l C.
<:: .5 .s:: E >.
OJ :E .~ :E "" 8 8l ~
Cl III III m
<:: <:: c: .~
:e .r: ::l .r: .s:: 0 to
.g E .g 0) C E
t E Cl
:is 0 :is .s. c: ~ "t:l
::l U ::l en 'iE ffi
~ a. a. o.~ en
'5 " '5 'en
<:: enc. I!! en
E ., .1;
>- E i~ to i
~ .r: "E e! <If
a. en
0 ., ~
:t 1l .8 c: _ c: "t:l c:
[Ii - 0 c:
a. c:c: ~ .a .~
S 9l :E ~ ~ 00)
a. i[ ... m
.>< " <:: 0) c:
) " <:: .r: <:: C. :; to
<:: ::l .!!! E's 0 c:
.., 0 ... .ei a. ~ l{lci> ;;:
IJ) IJ) ;: <:: ~fil.: en
i " ., gj ., ., 0) c: .1; l{lci>
<:: IJ) ~E ~ 2! en .- -
~ .- en '2: E 3 ca .~
I <:: en.!!!
]I :il ~ '2 II: c."" 0) ;:] 0
., 0)8 -c:
z " <:: ffio. ., " 0)= C. OJ ~tO
U <:: 'a; 2' Iii ~.M ;:]
:: ::J ::. a. .5 0 CJ) OtO w.E
l.
..: .,j l'l <i Ol
. i .... N M ..t
ui
.
...
-
::T
CD
Cil
III
::l
'<
Cl
o
::l
Cl
~
IJ)
:f
!!l.
'<
g
:E
or
::T
c:;
~
"
m
IJ)
o
~
lll.
g
0'
::l
e!.
:j"
~
III
c<.
o
::l
i
-
~
III
0:
'"
(")
o
3
3
~
".
!II ~ '" . .
!" ... I
0 ~ j;\I
~ CD 3 S::. ~c i
~ a ~ Ill!!!.
~. ~ i. c:lB- r
::T m ::l !!l ;:].
or lC ! IJ) ~ g.. ~
".. ~ ::T
3 cC' "t:l I
CD ~ ::T ;:].
III 1:' J ;:]
::l 8- a. n
a. ~ is'
CD 3 a. III
::l CD III
CD ;a a. a.
<0 5' ~. IJ) ~
'< S- ..
c:; ~. III c..
::T 3 ~ 8
0
or ::l' ::l j,i' ~I
'(5" lC lC
!=' !!l. " ::T
a. a g sa:
~ [ ~ o' .
;:]
oj" Ul I,
0' 0'
::l ::l III 5'
!" e!. ::l ~
Cl a.
0 5'
I ~ or
<:: ~ 2
~ 5' O.
-
~ "t:l
" Cil .
CD !ll
<il
0 c:
::l ... .
e!. CD1
III ~
::l
a.
" 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