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MINUTES ORANGE COUNTY BOARD OF HEALTH August 22, 2012 Board of Health Minutes Transcription completed by Lisa Smith August 22, 2012 Page 2 V. Smokeless Tobacco Presentation Gave a presentation overview of various smokeless tobacco products, she included some samples of smokeless tobacco products to look at and see the variety of smokeless tobacco options that are being sold. First Draft of Tobacco Rule Presentation Colleen Bridger presented to draft tobacco rule; rule terms were defined by grounds, enclosed areas, and what are considered a public place. It outlined tobacco use being prohibited by in or on any county or town vehicle, buildings, and grounds. It also include but not limited to , parks including playgrounds and athletic fields, bus stops, sidewalks, public transportation, trails and parks and polling places. Tobacco use will be prohibited at privately owned places (e.g. Childcare facilities, shopping malls, elevators, restaurants/bars). Smoking is not regulated in private residents, private vehicles, tobacco shops, cigar bars, private clubs, tobacco manufacturers, growers, processors, designated smoking guest rooms in lodging establishments, and motion picture, television, theater, or other live production sets. Implementation of education would begin January 1, 2013 with and Effective date of July 1, 2013. Universal signage of No Smoking and Use of Tobacco Products Prohibited symbol in English and Spanish. Citizens would receive an infraction punishable by a fine of $ 25 issued by law enforcement. Employees would receive the $ 25 fine and be subject to disciplinary action. Anyone who manages or operates a public place would receive a written notice of the person’s first violation, written notice of the person’s second violation and notification of administrative penalties to be imposed for subsequent violations, and third and subsequent violations would include the Health Director may impose an administrative penalty of no more than $ 200. Board of Health Members had a chance to discuss the draft tobacco rule. The majority of board members did not want to include smokeless tobacco in the rule. VI. Reports and Discussion with Possible Action A. Customer Satisfaction Re-Vamp Jessica Southwell has done an assessment of the 4 week customer service process at the Health Department to identify best practices for improving client satisfaction survey response rates. Participants included clinic staff at both the health clinic locations. A comparison of the results across and between both clinics with a review of 2,128 encounters. The first week clients were asked to complete a satisfaction survey before they left. Week two addition of computer based survey option was added. Week three clinic staff are offered an incentive if response rates are above previous baseline rates. Week four clinic staff continues to collect surveys using standard means of practice. Recommendations include all programs and ensure appropriate staffing. Encourage and remind participation from all, investigate clinic site differences. Redesign survey with common barriers for completion in mind (low-literacy, language preference, LEP, use of interpreters). Set clear goals and objectives, use AJRQ’s pre-tested questions. Consider a shorter collection period (e.g. two weeks), review possible alternatives for survey collection (phone/mail). B. Innovations Resolution The proposed Resolution will support a culture of Innovation within the health department and create a culture shift with a focus on better patient care, better health and reduced care cost for residents of Orange County. (Healthcare reform Triple Aim) This resolution also provides for a