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responsible for carpeting The contract expires in 2008 Commissioner Jacobs said that this is <br />the Countys most expensive lease <br />Commissioner Jacobs suggested that in the spring the County Commissioners can take <br />the new UNC Chancellor to visit some County facilities as was done previously <br />Jessica Lee made reference to providing services at both Carr Mill Mall and Whitted and <br />said that they try not to compromise care and they try to work as efficiently as possible under <br />the circumstances <br />Commissioner Gordon said that the county has principles with respect to space needs <br />and they include consolidating into fewer sites and also getting out of rental spaces and into <br />facilities owned by the county <br />Technology Equipment Ms Chris Harlan ViceChair <br />Christina Harlan said that she is a public health nurse by profession and she has <br />watched technology over the years She said that the Board of Health feels an ethical obligation <br />to make sure that quality care is provided <br />Technology Equipment <br />Orange County Health Department <br />November 13 2007 <br />The development of health care technology over the past 10 years has far outstripped the ability <br />of Orange County Health Department to keep at a basic level of adequacy This is true for all <br />aspects of service delivery as well as data analysis in order to form good policy development <br />Clinical Technology <br />The NC Division of Public Health will be completing the customization of a new vendor <br />purchased statewide software for all clinical and home visiting services This software has <br />an individual electronic health record for each patient While not a requirement <br />maximizing the effectiveness for patients and providers will require mobile PC tablets or <br />a workstation in each exam and interview room <br />At its fullest and highest use it will require the ability to affix and read bar codes for <br />services that would automatically be tagged to a patient record and then billed <br />The logical expansion is the purchase of avendorsupported addonfor a true electronic <br />medical record facilitating the transfer of referral information for patients <br />The standard for most dental offices including the UNC School of Dentistry is the <br />provision of digital dental xraysthat are available to the dentist chair side and become an <br />easily integrated part of the patientsdental record This would require software purchase <br />and equipment for each operatory <br />Field Based Services <br />Home visiting staffs are restricted from taking paper patient records into the field Mobile <br />technology would allow access to last progress notes and enable the staff member to <br />update notes in field and begin the service coordination process more quickly Linking to <br />appointment vacancies could improve service provision <br />Software that enables Environmental Health Specialists EHS conducting institutional <br />inspections in the Food and Lodging Program would allow the final grade sheet to be <br />printed for the establishment It would allow more timely uploading to the state and to the