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MINUTES <br />ORANGE COUNTY BOARD OF HEALTH <br />October 22, 2009 <br />Board of Health Minutes Transcription completed by Anne Miles Cassell 1 October 22, 2009 <br />ORANGE COUNTY HEALTH DEPARTMENT MISSION STATEMENT: To enhance the quality of life, <br />promote the health, and preserve the environment for all people in the Orange County <br />community. <br /> <br />THE ORANGE COUNTY BOARD OF HEALTH MET ON October 22, 2009 at the Southern Human <br />Services Center, Chapel Hill, North Carolina. <br /> <br />BOARD OF HEALTH MEMBERS PRESENT: Anissa Vines, Vice-Chair; Jim Stefanadis; Michael Wood; <br />Tony Whitaker; DeWana Anderson; Steve Yuhasz; Christopher Cooke; Mike Carstens <br /> <br />BOARD OF HEALTH MEMBERS ABSENT: Chris Harlan, Dr. Paul Chelminsky, and Dr. Jessica Lee, <br />out of town. <br /> <br />STAFF PRESENT: Wayne Sherman, Personal Health Services Division Director; Tom Konsler, <br />Environmental Health Services Division Director; Donna King, Health Promotion and Education <br />Services Division Director; Angela Cooke, Dental Health Services Division Director; Carla Julian, <br />Risk Management/Quality Assurance Director; Letitia Burns, Business Officer; Anne Miles <br />Cassell, Administrative Assistant; <br /> <br />GUESTS PRESENT: Daniel Kim, UNC School of Pharmacy; Chris Heaney, UNCSPH; Rev. Robert T. <br />Campbell, RENA; Patsy Polsten, UNCSPH; Erica Roedder, UNCSPH <br /> <br />I. Funding Streams for Public Health <br /> <br />Rosemary Summers gave an educational Power Point presentation on Public Health <br />Funding Streams. <br /> <br />There are many sources of funding although many of them are small. Among sources <br />are federal block grants, federal one time allocations, state appropriations, fees, third <br />party reimbursements, county general fund, contract for services, special project <br />grants, and contributions. <br /> <br />Federal Block Grants are program specific and the Department is accountable to the <br />State for reporting how these funds are spent. These funds usually require a state match <br />of funds. <br /> <br />Bio-terrorism funding began as a federal special allocation. H1N1 is a one-time special <br />allocation. They are generally distributed by the state on a population basis. <br /> <br />Steve Yuhasz asked what formula is used to determine allocation of state funds. <br />Rosemary Summers replied that a complex formula is used to determine need using per <br />capita income and health need by certain indicators such as people living in poverty. <br />The North Carolina Association of Local Health Directors’ formula has been in place for <br />many years and is reviewed periodically. This same formula in reverse is used to <br />determine reductions in funds. <br /> <br />Fees are established by determining the delivery cost of each service. Each fee must <br />be approved by the Board of Health and the Board of County Commissioners as <br />required by statute. Some services require fee determination on a sliding scale based