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MINUTES <br />ORANGE COUNTY BOARD OF HEALTH <br />May 27, 2015 <br />Page 2 <br />distinguishing our focus areas for the Board of Health. Currently, those focus areas are Access <br />to Care, Child and Family Obesity, Mental Health and Substance Abuse. <br /> <br />This joint effort between the Orange County Health Department (OCHD) and Healthy <br />Carolinians of Orange County collects data to get a sense of the total health of Orange County <br />and determine the community’s needs in addition to helping establish where the underserved <br />areas are. This year’s survey will have less than half the questions of the 2011 survey, <br />approximately 50 questions, and will be collected on laptops. Out of 75 block groups, 799 <br />addresses have been identified to which postcards will be sent to those households requesting <br />their participation in the upcoming survey. There will be 20 volunteers in teams of 10 that will be <br />visiting these households over 9 days collecting between 300-400 surveys from June 18th to <br />July 19th. Ms. Lackey asked each Board of Health member to participate in this process. <br /> <br />The BOH members had several questions that were addressed by Liska Lackey and <br />Colleen Bridger. <br /> <br />B. Healthy Home Asthma Initiative <br /> <br />Coby Austin and Alan Clapp gave a presentation on asthma and the implications of the non- <br />management of the disease. They also described the Healthy Homes Approach, the <br />implementation of models in other communities in North Carolina and provided information for <br />possible execution in Orange County. They began with statistical data of asthma in North <br />Carolina and its effect on children in relation to absenteeism, hospitalization and emergency <br />room visits. An overview of the Healthy Homes Approach was given which consists of four <br />steps: <br /> <br />1) Referral – By whom (e.g. school nurse, PCP, emergency department)? <br />2) Home Assessment – What are the triggers? Who performs the visit? How many visits? <br />3) Address Problems – By what measures (e.g. HEPA vacuums, pillow/mattress covers, <br />green cleaning kit that consists of various non-toxic households items)? <br />4) Follow-up and Evaluate Impact <br /> <br />Community-based, county-based and regional models in North Carolina were also discussed. <br />Next steps include, determining which models to consider and the specific need for Orange <br />County as well as continuing to collect data to consider how to move forward. This would be a <br />cooperative undertaking, possibly collaborating with the Family Success Alliance and the school <br />systems. <br /> <br />The BOH members had several questions including funding sources and cost- <br />effectiveness that were addressed by Coby Austin, Alan Clapp and Colleen Bridger. <br /> <br />C. Quarterly Financial Reports <br /> <br />Rebecca Crawford reported on the 3rd Quarter Financial report which was included in the <br />packet. Average YTD monthly revenue in FY15 after the 3rd Quarter is $200k/month or $1.8M <br />YTD, representing 74% of our overall budgeted revenue for the year. This is an increase from <br />an average of $174k/month in FY14. Revenue is slightly below budget projection ($207k/m, <br />$2.5M/y), however, some allocations, such as for Medicaid Maximization, will be transferred into <br />the budget at the end of the fiscal year only if needed because expenses are lower than <br />budgeted at 70%.