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website for the public. 30 North Carolina counties have already purchased this vendor- <br />supported software. It would also provide more information on a historical basis for better <br />education of the food service managers. <br />EHS field staffs still need vendor-supported software for the on-site wastewater, well and <br />WIMP programs to conduct permitting operations in the field and then download and <br />process the information back in the office. <br />Data Analysis and Management <br />• Need to create GIS layers & utilize other data analysis tools in order to better target <br />service delivery & analyze where the department needs to concentrate efforts. <br />Equipment <br />• This is a particular need in the dental clinical program, where our equipment is aged <br />beyond use. There is no panorex x-ray machine in either clinic (a standard of care). There <br />are too few of the same kind of hand pieces, making sterilization twice a day a necessity. <br />Equipment is replaced only when broken and then cannot be repaired because there are <br />no parts. <br />Chair Carey asked about the Environmental Health field base software units, and asked <br />if the State would be expanding to all counties so that every county would be using the same <br />equipment. Rosemary Summers said that the State would not build a statewide software <br />system, but it is avendor-supported product. The vendor works to meet all State requirements. <br />Commissioner Jacobs said that the Board discussed this during the 2006-07 budget <br />process regarding field laptops and having the same equipment. Rosemary Summers said that <br />they did get some handheld units, and these are used for wells and some other Environmental <br />Health programs, but the software does not work in the way that would be useful without a lot of <br />work. <br />Chair Carey asked about the high-speed hand pieces that were needed to prevent <br />having to sterilize them at each of the operatories, and it was answered anywhere from 14-21 <br />per day. At this time, there is only half that amount in working order. The cost is $1,000 each. <br />• Comparison of Expenditures Dr. Jessica Lee <br />Comparison of Local Health Department Expenditures for Selected Counties <br />North Carolina Division of Public Health <br />November 13, 2007 <br />Each year the North Carolina Division of Public Health prepares an expenditure report that <br />compiles expenditures for all counties receiving funds through the annual agreements with the <br />NC DHHS. The most recent published report was for FY 2005-2006. The attached tables show <br />expenditures comparisons for selected counties in North Carolina. Counties were chosen for <br />comparison purposes based on size of population, presence of a university (related to size of <br />population), and those that generally have the same program mix. <br />Health Departments across the state have different mixes of programs depending on the needs <br />of their populations and the services offered in their communities. There was an attempt to <br />identify programs that would have a major budgetary impact. These are listed in the "Service <br />Comparison by County" chart for the counties selected. Robeson County is the leader in this <br />group, since it provides all services except a well program. <br />