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MINUTES ORANGE COUNTY BOARD OF HEALTH May 22, 2008 Board of Health Minutes Transcription completed by Anne Miles Cassell 3 May 22, 2008 population in these areas. The report stated that no safety net providers had a cap on Medicaid or uncompensated dental care however, 78% of non-safety net providers did have a cap on Medicaid and uncompensated care. 25% of safety net providers reported a cap on uninsured. Dr. Sharon Van Horn asked if there was a follow up system in place on the patients we cannot serve. Angela Cooke stated that Dental Health Services does not track those patients. Rosemary Summers questioned what the accessibility would show if the OCHD data were pulled out of the statistics and that it would be of benefit to the department to have the data presented with and without the statistical data from OCHD to get a clearer picture of health assurance for the underserved. Home Health Assurance: OCHD does not currently provide or contract for Home Healthcare services. An objective of the report was to determine whether or not the need exists for OCHD to begin to provide or contract for HHC services for Orange County residents. The report found that the community’s needs for adult HHC are being adequately met. One area of concern noted in the report is the lack of care provided to children and recommended further evaluation. Adult Health Assurance: OCHD currently provides primary care for adults in Hillsborough and limited primary care in Chapel Hill. The study found that the safety net practices in the study, of which OCHD is included, provide adequately accessible care for adults in Orange County in terms of geography, age group, spectrum of care, hours of service, timeliness of care, culture (language used), insurance and finance. Non-safety net practices were rated inadequate due to limitations in hours of service, language, insurance, and financial accessibility. The study concluded that the community’s needs are being adequately met with the inclusion of OCHD in the safety net pool. The study recommended continuing the present level of care at the Hillsborough and Chapel Hill locations. The Board would like to look at the tools being used further and recommended that staff examine the tool and methodology to make sure an accurate picture is being provided for both availability and quality. B. Rule Adoption – Orange County Wastewater System Rules In November 2007, the Board voted to adopt the revisions that have been made to the North Carolina Rules for Sewage Treatment and Disposal Systems (15A NCAC 18A, 1900). This act of adoption retained all of the Orange County (more stringent) requirements previously adopted. 1. Upon submittal of the compiled rules to the State, a potential inconsistency was noted regarding the ability for local staff to take action upon a state certified septic contractor’s local registration. After