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MINUTES ORANGE COUNTY BOARD OF HEALTH June 22, 2011 Board of Health Minutes Transcription completed by Lisa Smith June 22, 2011 4 scheduled to begin July 5 and end August 25 but are subject to delays due to unforeseen conditions. The Carr Mill dental clinic space has been rented through September. The Health and Wellness Trust Fund is slated to be abolished in the 2011-2012 State budget. TRU Grant funding will end June 30, 2011. This displaces a permanent FTE. The decision was made to terminate the Senior Public Health Educator assigned to Statewide Health Promotion. This employee was still on probation and released according to OC Personnel Ordinance Article II, Section 6.3.3. This action allowed us to transition the TRU Grant Coordinator to the Health Promotion program and retains a long standing employee. We are hearing that Statewide Health Promotion funds provided to the health department via consolidated contract agreements with NC DHHS may also be reduced. This funding does supports a portion of the Senior Public Health Educator's salary. At this point, it is unclear to what extent our expected $23,487 may be reduced. Recent emails suggest we may receive up to $8,000 beginning July 1, 2011 with additional funds possible in October. Fortunately, we have Diabetes grant funds through December 2011 and have vacant temporary positions that can be filled by the Senior Public Health Educator. We expect that the Diabetes Grant will contribute $12,000 towards the shortfall. Additional options to cover the shortfall may include Smart Start funding, since the Orange County Partnership for Young Children appears interested in contracting half-time or less with the health department for coordination of NAPSACC, an evidenced-based physical activity and nutrition program for daycares. Participating in the provision of NAPSAC would align with Statewide Health Promotion Program goals. We are currently recruiting for a dental office assistant and an administrative officer for the finance unit. Piedmont Health Services has responded favorably to our proposal to share a full-time nutritionist position to provide medical nutrition therapy and diabetes self-management counseling. Once the contract is fully executed by both parties, recruitment for the position will begin. We are excited that the health department has been chosen as a host site for a Public Health Associate funded by the CDC. We have not yet received specific information regarding the individual who will join us, but staff will attend training in early July to learn more about the program and our roles and responsibilities. Associates are expected to be at their host sites in early August. c. County Health Rankings The Robert Wood Johnson Foundation funded the University of Wisconsin Population Health Institute to develop a ranking system for all local counties across the country; approximately 3,000 counties. The first rankings and report was issued in 2010. The ranking only compares counties to each other within a state and are intended to help counties compare the multiple factors that influence health so that people can see where they are doing well and where they need to improve. Orange County is ranked second overall in the state. The County ranks first in health factors and second in health outcomes. These rankings were determined by examining data sets from certain points in time. North Carolina continually examines and updates