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MINUTES ORANGE COUNTY BOARD OF HEALTH March 23, 2006 Board of Health Minutes Transcription completed by Anne Miles Cassell 3 March 23, 2006 D. 2006-2007 Health Department Budget Presentation Board members were provided with copies of the proposed 2006-2007 Budget for the Department. This provided the Board with a look at the overall performance of the Department and each Division in meeting both revenue and expenditure projections. Staff members presented information on line items that had significant changes during the fiscal year and answered questions from the Board. The proposed Budget for 2006-2007 totals $6,712,952, an 11% increase overall in the budget, including approximately $250,000 in capital items. An increase in revenue income will offset some of the increase. Moses Carey, Jr. requested staff include the summary statistics by division that was provided to the Board as part of the budget request. Three major items are new this year. The first is the transition of the Volunteer Coordinator for the Medical Reserve Corp, a grant-funded position with the grant ending September 2006. The budget includes a request to transition this position to county funding. Second is the remaining 25% of the Healthy Carolinians Coordinator salary. This is the final year of the Kate B. Reynolds grant, a decreasing-fund grant, which ends September 30, 2006. Last year the county picked up an additional 25%. Third, the Environmental Health budget includes two new staff positions to meet existing demands for service; one of those is fee supported in its entirety. Revenues are projected to be $2,067,014, an increase of 4% over the current year. The proposed budget includes several small fee increases in dental and personal health services to cover increases in the cost of medical and dental supplies and two additional fees in environmental health services. The cost of dental and medical supplies have risen 52% in the past 4 years. Staff members in response to questions from the Board further clarified the proposed medical and dental fee increases. Two positions have been added to environmental health, a food and lodging supervisor, and an environmental health specialist for the WTMP program. The environmental health specialist position for the WTMP program would be fee supported. Ron Holdway explained the increase in environmental health fees is primarily to offset the costs of an additional position for the WTMP program. The food and lodging position is a result of the state assessment that we needed two positions. The Board was provided with information for 2 additional positions for water resources. The position sheets along with the costs were developed but were not included in the budget. This was directly in response to the water resources initiative set forth in the Health Department Strategic Plan. They were not included due to the increases for the two mandated positions. In Personal Health Services a 2-month salary increase for the last school nurse that is being transitioned back to the Health Department. This position will be responsible for tracking and follow-up in case management for some of the prevention programs. This will relieve the clinic nurses of these duties and allow them to be more productive in the clinic. Moses Carey, Jr. questioned the phrasing of “2-month salary increase” and requested clarification. Dr. Summers