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MINUTES ORANGE COUNTY BOARD OF HEALTH November 20, 2008 Board of Health Minutes Transcription completed by Anne Miles Cassell 2 November 20, 2008 New fees are routinely recommended for approval during the annual budget process. This year, several new fees are being recommended due to rule changes, state recommendations, or new products. Wayne Sherman announced the addition of several new fees and Board members were given a revised list of changes. C. Primary Care Grant/ Nutrition Expansion The department goal is to provide optimal healthcare to clients receiving primary care services by expanding clinical nutrition services (Medical Nutrition Therapy services) to those clients referred with high risk conditions (obesity, diabetes, malnourished etc.). To successfully achieve this, the department plans to provide an additional 0.5 FTE of a Registered Dietitian (RD), 0.5 FTE of a Lab Technician, and 0.5 FTE of a Management Support Office Assistant. These professionals will work collaboratively with department clinicians and community providers using a multidisciplinary approach to treat and manage the health conditions of those in need of primary care services. Motion to accept items on the Consent Agenda was made by Tim Carey, seconded by Matt Vizithum, and carried without dissent. V. Reports and Discussion with Possible Action A. Assurance Methodology Report – Family Planning, Child Health and Maternal Health In the current economic climate community Safety Net providers are finding it challenging to meet the growing health needs of the uninsured. The Health Department provides both mandated and non-mandated programs and services. These programs include Adult Health, Home Health, Child Health, Family Planning, Dental Public Health, and Public Health Laboratory Support. In the past the department has done an inadequate job of assessing the availability of health services within the community to know whether individuals have adequate access to services and whether OCHD needs to directly provide the services or encourage other providers to increase service availability. This assessment process is becoming increasingly important as resources are diminishing and the department needs to target our efforts and funding to the greatest need. In Spring 2008 an initial Assurance Methodology tool was developed and implemented to measure the availability of health services for Home Health, Adult Health, and Dental Health within the community. A report of that assessment was provided to the Board by Dr. Karyn Leniek, MD, in May 2008. Several recommendations to the tool were implemented with the second iteration of the tool which was used to assess Family Planning, Child Health and Maternal Health Services. Content of the 2-page questionnaire to providers included questions regarding practice size, scope of services, and description of enrolled population by characteristics of payer-type and zip code of residence. Dr. Brett Nishikawa, Preventive Medicine Resident, discussed the application of the refined tool, the findings, strengths and limitations of the tool, and future recommendations. Dr. Nishikawa gave a Power Point presentation and commented that the definition of