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MINUTES ORANGE COUNTY BOARD OF HEALTH January 16, 2013 Board of Health Minutes Transcription completed by Lisa Smith January 16, 2013 Page 3 • Where do we already use thematic (“wide angle lens”) framing? The recent Smoke Free Public Places Rule is a great example. Focus of community health. No vilification of smokers. Policy for social change, for the benefit of all. Garnered support from community by providing opportunities for input/solutions. • Where are opportunities to apply thematic framing more effectively? Upcoming BOH strategic plan interventions and policies : *Mental Health especially— partners coming together for more training—to learn how to discuss this issue and come to a common understanding. Take out preconceived ideas—stretch our boundaries of thinking. Develop a new way to talk about it. Look at the system not the Individual— remove the stigma. New Branding initiative. Complete Streets—think like NPR with sounds and images. Facebook-social media—think about the images and visuals. Create a ‘story bank’. Our use of statistics should be relevant and meaningful—social math. • What questions and concerns do we have about using more thematic framing? The ‘person’ or face is important—be mindful of how they are portrayed and why. Cannot overlook personal responsibility for actions/behavior. Do not over compensate—avoid generalizations. Episodic themes are compelling and create interest—must have a balance. C. Colposcopies Proposal OCHD clients requiring diagnostic colposcopies for abnormal cervical cancer screening exams are being referred to UNC Dysplasia Clinic. Transportation and other barriers result in less than 50% of clients receiving the diagnostic procedure. The service will be provided to Orange County residents with no insurance coverage on an income based sliding fee scale with a minimum of $30. Medicaid and other insurance providers will be billed for clients with coverage. Startup and supply costs are minimal. We will continue to refer clients to UNC who will do the pathology and care using UNC’s Charity Care Program. Fees were based on a cost assessment that included our internal costs to provide the service and a comparison of what other counties charged for this service. Liska Lackey made a motion to approve fees associated with the Colposcopies Proposal and forward to BOCC, seconded by Paul Chelminski, and carried without dissent. D. Budget Update The February Board of Health Meeting will be a budget meeting. Our budget has to be to the county by mid-March. We have been asked to keep our budgets as flat as possible. Colleen hopes to keep the Health Department’s request for county funding relatively flat, but will be requesting an additional Public Health Educator position to work on the Board of Health priorities. With an improved billing system we expect an increase in clinic and dental revenues.