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MINUTES ORANGE COUNTY BOARD OF HEALTH March 27, 2008 Board of Health Minutes Transcription completed by Anne Miles Cassell 3 March 27, 2008 • Communicable Disease Nurse – to meet emerging needs in refugee health. • One-half time FNP II for refugee health • Office Assistant – This position will support refugee and immigrant health in Health Promotion. • Dental Hygienist for Smart Start and increase in clinical services • Increase in dental hygienist hours State funding increases from 07-08 will continue, however, federal funding may be cut. The County general fund request is a 19% increase over last year. Revenues from grant funding are anticipated to be similar to last year. The total budget requested is $8,093,623, an increase of $1,074,229 or 15.3%; a good part of this is previously unfunded capital requests. The capital requests include funding to implement the new HIS system and two new vehicles for home visitors. The home visiting staff has been using county fleet vehicles, however, there are fewer available and reimbursement for use of personal vehicles does not cover the operating cost. In addition, there is a host of unfunded capital items for dental health Dr. Carey asked if the HIS system was closer to being rolled out by the state. The pilot counties will be rolled out in April, several more in June, and the rest of the counties will be included by September, 2008. He also stated that he felt it was wise to make the Immigrant and Refugee a separate unit and more visible. Upon Board action, the budget request will be forwarded to the County Manager for consideration in preparing the total county budget request to the Board of Commissioners. If the Board wishes to make changes in April it can still do so and have them forwarded. Board members thanked the staff for their hard work and commended them for presenting a lot of information in an understandable format. Motion to approve the fee schedules as presented in the 2007-2008 budget request and forward to Commissioners for approval was made by Matt Vizithum, seconded by Ernie Dodson, and carried without dissent, pending confirmation at the April BOH meeting. Motion to approve the budget request for fiscal year 2008-2009 for the health department and forward to Commissioners for approval was made by Matt Vizithum, seconded by Ernie Dodson, and carried without dissent, pending confirmation at the April BOH meeting. Motion to approve new positions requested for FY2008-2009 with associated revenues and forward to Commissioners for approval; directing that if positions are not approved, revenues associated with earnings by these positions will also be removed from the budget, was made by Matt Vizithum, seconded by Ernie Dodson, and carried without dissent, pending confirmation at the April BOH meeting. B. Temporary Food Establishment Permit Fee