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MINUTES ORANGE COUNTY BOARD OF HEALTH October 24, 2007 Board of Health Minutes Transcription completed by Anne Miles Cassell 4 October 24, 2007 had a special study to determine the need for services. This is becoming increasingly important as we consider the development of program budgets and organizational alignment. It is also an issue relevant to our 2007 Community Health Assessment where Access to Health Care and Health Insurance was the second highest priority. To address this concern, we propose to develop an "Assurance Methodology" or tool to measure the availability of health services, particularly those noted above, within the community. The parameters of this tool are still being defined but may include geographic, economic (Medicaid, Medicare, sliding scale fees), cultural competency (language, staff training), hours of service, etc. considerations. The tool needs to be simple to implement, understandable and utilized on a consistent basis in a pre-determined time frame. Wayne Sherman introduced Dr. Karyn Leniek who is working with us on this effort. Dr. Leniek is a UNC Preventive Medicine Resident. She is taking this on as a special project within the Continuous Quality Improvement Rotation and plans to have a draft document by April 2008. Dr. Leniek reviewed the Assurance Methodology initiative, her progress to date, and plans going forward. Dr. Carey said he was very supportive of this study. C. Fee and Eligibility Policy Amendments Rosemary Summers reported that the Billing Committee reviewed the policy for compliance with all federal and state requirements and made several changes to the policy. In discussion with the County Budget and Finance staff, the entire section on “bad debt” was deleted and will now be in the Department Financial Procedures Manual under “delinquent accounts.” This will fit with the county’s accounting procedures as well. In the future this policy will likely be separated into a “policy statement” that the Board will adopt and a separate document will be created with procedures that can be more easily changed as state and federal requirements change. Motion to approve the policy revision was made by Jim Stefanadis, seconded by Chris Harlan, and carried without dissent. D. No Fault Well Repair Fund Policy Amendments In 2001, American Stone Company and OWASA applied for and received a special use permit for the continued use of the American Stone Quarry until the end of 2030. After that date, OWASA will operate the facility as a reservoir. The Quarry is located approximately 5 miles west of Carrboro on Hwy 54. As a condition of the special use permit, American Stone established a "No Fault Well Repair Fund" (NFWRF) for those residents