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MINUTES <br />ORANGE COUNTY BOARD OF HEALTH <br />August 27, 2009 <br />Board of Health Minutes Transcription completed by Anne Miles Cassell 8 August 27, <br />2009 <br />committees, respectively. OCHD, Piedmont Health Services and other <br />community providers are working together to provide needed health services to <br />visitors to the event. OCHD will be providing flu shots, adult and child <br />vaccinations, cholesterol and glucose screenings, and Maternal Care <br />Coordination and Health Check/Health Choice information. Piedmont Health <br />Services will be providing Blood Pressure screening, medical assessment and <br />consultation, Pharmacy consultation, Carolina HealthNet enrollment (to provide <br />a medical home) and acute medical services off-site as needed. In addition, <br />the UNC Kidney Van will be on-site to screen for kidney disease and rapid HIV <br />Counseling and Testing services will be available. Podiatrists will assess feet and <br />trim nails, and vision screening with an optometric visual exam will be offered. <br /> <br />The OCHD Dental Health Service will be providing two days of dental treatment. <br />Dr. Day and Angela Cooke will conduct a dental screening at the men’s shelter <br />prior to the event and schedule clients based on treatment needs. On October <br />1, 2009 scheduled clients will receive dental treatment, fillings and cleanings, at <br />the Carrboro Dental Clinic and on October 8, 2009 extractions will be provided <br />by dentists from UNC School of Dentistry and OCHD dental staff on site in the <br />Men’s Baptist Dental Bus. Ms. Cooke sent out 2 communications to all dentists in <br />Orange County asking for volunteer participation or funding to support the event <br />and received no responses. <br /> <br />b. Case Management Reductions: Rosemary Summers reported that part of the <br />state budget process that was approved was a severe cut in Medicare <br />reimbursement for case management services. A task force was appointed to <br />come back to the legislature by September 1st with a plan that would achieve <br />this goal. This would affect nearly all of our home visiting programs and about 12 <br />positions in the department. We do not know what the draft plan contains, but <br />the way the Department of Medical Assistance is defining duplication is that if a <br />client or part of the client’s family is receiving more than one service in a 12- <br />month period it is considered duplication, and the services being received would <br />be case managed by a single case manager regardless of the specialty <br />needed. There is also a possibility that all case management services would be <br />assigned to Community Care of NC. Implementation of this plan would <br />devastate the infrastructure of the department and make it difficult to respond <br />to emergency situations. Chris Harlan stated that when the current Baby Love <br />Program was originally developed in NC the system was looked up to as a model <br />all around the country. Rosemary remarked that a 1980’s research study <br />showed a $2 savings from every $1 spent in the program. <br /> <br />c. Board of Health Policy Manual: The Board approved revisions this past spring <br />to several procedures or policies contained in the Board of Health Policy Manual. <br /> New members received a new policy manual as part of their orientation. Staff <br />had complete new copies of the manual for each member at the meeting. All <br />Board members are required to acknowledge by signature that they received <br />and reviewed the Policy Manual. <br /> <br />d. Pending and Recurring Items: The chart details upcoming agenda items. <br />Staff made several adjustments to better correspond with state reporting <br />requirements or the budgetary flow for the year. The changes were marked for