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MINUTES ORANGE COUNTY BOARD OF HEALTH May 22, 2008 Board of Health Minutes Transcription completed by Anne Miles Cassell 2 May 22, 2008 The staff proposed an update of those regulations so that they mesh with the new state regulations. Staff will work with the EH regulations so that they mesh with the new state regulations. Staff will work with the Environmental Health PHP committee over the next month and will have a draft to be considered by the Board for adoption at the June 26th meeting. The Board was requested to approve the advertisement announcing the adoption of those rules in accordance with NCGS 130A-39. If approved, the advertisement will be posted in the Herald Sun on or about June 11th. Motion to approve the minutes as read and accept items on the Consent Agenda was made by Tim Carey, seconded by Matt Vizithum, and carried without dissent. IV. Reports and Discussion with Possible Action A. Assurance Methodology Project Report The Orange County Health Department provides both Mandated and Non-Mandated Programs/Services. Administrative Rules state that the Health Department is to “provide, contract for the provision of, or certify the availability of services for all individuals within the jurisdiction of the local health department” for certain mandated programs. These programs include Adult Health, Home Health, Maternal Health (including MCC), Child Health (including CSC), Family Planning, Dental Public Health, and Public Health Laboratory Support. In the past the department has done an inadequate job of assessing or certifying the availability of health services and whether OCHD needs to encourage other providers to increase service availability or to directly provide the services. The exception to this was primary care where a special study was conducted to determine the need for services. This is becoming increasingly important as the development of program budgets and organizational alignment is considered. It is also an issue relevant to the 2007 Community Health Assessment where Access to Health Care/Health Insurance was the second highest priority. To address this concern, an “Assurance Methodology” tool was developed to measure the availability of health services for Home Health, Adult Health, and Dental Health within the community. Board members were provided with the Final Reports for the three different programs and the tool that was administered for each. Dr. Karyn Leniek, MD, presented the results of the study with a power point presentation. Moses Carey, Jr. asked Dr. Leniek if Orange County was the only county doing assurance methodology. Rosemary Summers stated that Orange County was at the forefront in doing this kind of study to assess the need for additional services to the community at this time. Dental Health Assurance: A point was made that the Dental Services Division had a low percentage of dental patients from the Cedar Grove, Efland areas of the county. The research determined that there are inadequate safety net providers to serve the