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BOH minutes 032316
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BOH minutes 032316
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3/5/2018 3:59:53 PM
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BOCC
Date
3/23/2016
Meeting Type
Regular Meeting
Document Type
Advisory Bd. Minutes
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MINUTES- Final <br />ORANGE COUNTY BOARD OF HEALTH <br />March 23, 2016 <br />S:\Managers Working Files\BOH\Agenda & Abstracts\2016 Agenda & Abstracts/ March Page 2 <br />selected from census blocks, 279 addresses were attempted with 166 door-to-door surveys <br />completed. A new health opinion online survey was completed by 1,548 community residents. <br />There were a total of 1,714 health opinion surveys answered, 5 focus groups conducted and 4 <br />community listening sessions held. The 3 health priorities chosen as a result of the prioritization that <br />occurred at the Healthy Carolinians of Orange County’s Annual Meeting were 1) Social <br />Determinants of Health with priority around Access and Poverty, 2) Mental Health & Substance <br />Abuse, and 3) Physical Activity & Nutrition. <br /> <br />As the Board had previously received a copy of the nearly 150 page CHA full report (50 pages <br />before the attachments), Ms. Mercer spoke on the design of the CHA Executive Summary. She also <br />extensively discussed important and pertinent information in regards to each of the 3 focus areas <br />displayed in the CHA Overview document that the Board had also received prior to the BOH <br />meeting. Ms. Mercer addressed questions from the board that pertained to the data represented in <br />the Executive Summary. Jessica asked – regarding the Mental Health and Substance Abuse portion <br />- What’s the denominator (percentage of suicides)? How is it defined? Ms. Mercer expressed that <br />she was not 100% positive of the explanation but would get the answer and would follow-up with <br />Jessica after the meeting. Nick asked – What’s the process of dissemination? Ms. Mercer <br />responded by stating the CHA will be placed on both the Health Dept. and Healthy Carolinians <br />websites, emailed to various list servs, shared with the community thorough press releases and <br />social media, shared with County Commissioners, and sent to community partners. <br /> <br /> Ms. Mercer thoroughly reviewed and discussed with the Board each of the BOH Requirements for <br />Accreditation including explaining how most of the requirements have been satisfied and the <br />procedures needed to satisfy the remaining benchmark activities. She also went through the <br />dissemination requirements and how they will be satisfied after the Board approves the CHA <br />document. Ms. Mercer explained that there are 8 phases in the CHA process. Currently, it is on <br />schedule and at phase 6 which is to create the CHA document. Upon Board approval, the next <br />phase involves disseminating the CHA document to the community which will include sending to <br />community partners/stakeholders and uploading to different websites. <br /> <br />The BOH members had questions that were addressed by Ms. Mercer and Dr. Bridger. <br /> <br /> <br />VI. Action Items (Non-Consent) <br /> <br />A. Integrated Behavioral Health Proposal <br /> <br />Kathleen Goodhand, Home Visiting Services Supervisor, began with an introduction of herself, <br />Hannah Welch, MSW Intern, and Andrea Mulholland, Family Nurse Practitioner II. Ms. Goodhand <br />gave an overview of the results of the integrated behavioral health pilot as well as <br />the need for funding a behavioral health position. First, she explained why integrating behavioral <br />health is important. Some of those reasons included: <br /> <br />• Behavioral and social factors contribute to nearly every cause of death, illness and disability. <br />• 50% of patients with a mental health diagnosis are seen by their primary care provider. <br />• 85% of physician visits are for problems that have a significant psychological component. <br />• 45% of individuals who die by suicide have visited their primary care provider within a month <br />of their death and over 75% had contact within one year. <br /> <br />Next, she spoke on the impact of integrated behavioral health and how it increased patient, family <br />and provider satisfaction. Ms. Goodhand also expressed that mental health should be viewed as a <br />part of physical health. Ms. Welch talked about the population that the Health Department's <br />integrated behavioral health pilot has served.
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