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MINUTES ORANGE COUNTY BOARD OF HEALTH October 24, 2007 Board of Health Minutes Transcription completed by Anne Miles Cassell 3 October 24, 2007 CCHD is expected to implement the NAPSACC program with 5 Child Care centers per year. Motion to approve the minutes of September 27, 2007 and items on the Consent Agenda, forwarding such items as required to the Board of Commissioners for approval, was made by Sharon Freeland, seconded by Tim Carey, and carried without dissent. V. Reports and Discussion with Possible Action A. Community Health Assessment Priorities Bobbie Jo Munson reported that the Healthy Carolinians of Orange County held its annual meeting on September 26, 2007 at the Seymour Center in Chapel Hill. At the meeting, participants were presented with data on 10 priority areas from the community health assessment. After being presented with the data and a brief discussion about the issues, participants voted on their top three issues. The five issues that received the most votes were: 1. Health Promotion (chronic disease) = 36 votes 2. Access to Health Care/Health Insurance = 28 votes 3. Adult Substance Abuse and Mental Health = 27 votes 4. Child and Adolescent Health = 23 votes 5. Transportation = 19 votes The next step will be to convene interested partners and discuss strategies to address these issues. Matt Vizithum asked where the transportation issues were centered. Ms. Munson replied that the northern part of the county was most in need. Motion to accept the issues as presented as part of the final draft was made by Jessica Lee, seconded by Chris Harlan, and carried without dissent. B. Assurance Methodology Project The Orange County Health Department provides both Mandated and Non-Mandated Programs and 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. Those 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, we have done an inadequate job of assessing (or certifying) the availability of health services within the community to know whether individuals have adequate access to 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 we