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MINUTES-Final <br />ORANGE COUNTY BOARD OF HEALTH <br />January 25, 2017 <br />S:\Managers Working Files\BOH\Agenda & Abstracts\2017 Agenda & Abstracts/ January Page 3 <br />Name of Fee 2016-17 <br />Current Fee <br />2016-17 Proposed <br />Fee <br />2016-17 Budget <br />Impact <br />Provisional <br />Splinting, <br />intracoronal <br />$0 $115 $2,070 <br />Provisional <br />Splinting, <br />extracoronal <br />$0 $115 $2,070 <br /> <br /> <br /> Environmental Health <br />• Environmental Health requests to add two additional fees for well water testing <br />for Hexavalent chromium and Coal Ash following the release of the October 2016 <br />study by Duke University. This study noted that Hexavalent Chromium occurs <br />naturally in the Piedmont area of NC with a higher prevalence than previously <br />thought. Environmental Health has had 7 requests for Hexavalent chromium <br />tests and two requests for Coal Ash panels as of December 2016 and anticipates <br />sending off 6 samples each for these tests for the remainder of the fiscal year. <br />The cost of the fees were determined based on the cost for sample bottles, <br />shipping, and staff collection time. <br /> <br />See chart below for proposed fee. <br /> <br /> <br />Name of Fee 2016-17 Current <br />Fee <br />2016-17 Proposed <br />Fee <br />2016-17 Budget Impact <br />Hexavalent <br />chromium <br />$0 $90 $540 <br />Coal Ash <br />Inorganic Panel <br />$0 $110 $660 <br /> <br /> <br />The BOH members had questions that were answered by Ms. Crawford. <br /> <br />Motion was made by Susan Elmore to approve proposed fee changes for 2016-2017 as <br />presented and forward to the Board of County Commissioners for action, seconded by <br />Jessica Frega and carried without dissent. <br /> <br /> <br />D. Integrated Behavioral Care Update <br /> <br />Karen Kyes, Clinical Social Worker II, Integrated Behavioral Health Services, and Andrea <br />Mulholland, Family Nurse Practitioner, provided an update on the Integrated Behavioral Health <br />Program. From July 2016 to mid-January 2017, there were 199 patients referred. Over half <br />were uninsured. The PHQ-9, an instrument for screening, diagnosing and measuring the <br />severity of depression, was used to determine clinically depressed patients. On average, the <br />patients scored 15 which is moderately severe depression. Below is a summary of the highlights <br />of the first 10 months of the program. <br /> <br />Goals