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MINUTES ORANGE COUNTY BOARD OF HEALTH June 24, 2009 Board of Health Minutes Transcription completed by Anne Miles Cassell 6 June 24, 2009 D. Strategic Plan Review Sections IV. And V. Rosemary Summers reported that each year the Board and staff review the Strategic Plan to determine progress toward completing high priority items and to determine whether the plan requires alterations. The extended management team reviewed Sections IV. And V. of the 2006-2011 Strategic Plan in early June and had several comments and suggestions for the Board to discuss. The Board was provided with copies of the report and staff notes as a result of this meeting. Recommendations included dropping certain activities, acknowledging delays because of budgetary issues, and altering other activities due to changes in the environment. ‘Changes in the strategic plan’ is suggested as a possible topic for a joint Board of Health Board of Commissioners meeting. Chris Harlan asked if staff felt good about the status of various goals. Dr. Summers commented that some of the objectives are resource intensive in terms of financial resources that we do not have, therefore it has been difficult to reach goals such as expansion of the dental program. Chris Harlan commented on the meeting she had with County Manager Laura Blackmon. Ms. Blackmon made a point to indicate her appreciation and recognition of the lengthy discussions by staff and the Board to find creative ways to reduce costs in order to meet budget guidelines for FY 09-10, specifically the offer by the Department to eliminate services at the Carr Mill dental clinic. Rosemary Summers said that the TRU and Health and Wellness Trust programs have proven results. This is clear evidence of positive results when the resources are available. The Diabetes Self Management is part of the plan and we currently have the resources. Eventually the Department will be able to bill for these services with the hope the program will eventually be self sustaining. Steve Yuhasz inquired about where he could find the section mentioned in the agenda. The entire Strategic Plan is available on the Department website and each Board member should have either a CD with the plan (if you were appointed after 2006) or a hard copy. E. 09-10 Budget Update The Board of Commissioners adopted budget ordinances on June 16, 2009. The cuts proposed by the Health Department were accepted with one exception. Projections indicated that closing Carr Mill Dental Clinic would have cost more than it saved because of the provision to buy out the current lease and was not accepted. The Commissioners accepted the year long freeze for an environmental health specialist in the on-site/well program; an environmental health program specialist in the food and lodging program that will be retiring this year; an office assistant in environmental health; and a medical office assistant stationed at Southern Human Services Center. The Department is unaware of any other county department that offered to freeze four positions in order to balance anticipated revenue shortfalls. All