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MINUTES ORANGE COUNTY BOARD OF HEALTH September 28, 2006 Board of Health Minutes Transcription completed by Anne Miles Cassell 4 September 28, 2006 • TANF (Out of Wedlock Funds) have been allocated to Local Health Departments by the NC General Assembly as one-time funding. The purpose of these funds is to assist in the reduction of out of wedlock births. Personal Health plans to use these funds for various methods of contraceptives. Amount awarded to OCHD = $7,650 to be spent by May 31, 2007. E. School Nurse Contracts Each year the Health Department contracts with each school system for the provision of school nurses to the schools. The funds are "pass through" funds allocated by the Commissioners in order to meet the "one nurse per school" standard adopted by Commissioners in 2000. The funds are in a separate line item in the county budget and are not part of the regular Health Department budget. There are no substantive changes to the contracts for this year. These contracts were on the Commissioners agenda on September 19 and have already been approved by them. They were presented for Board review and concurrence as part of contract review responsibilities. Motion to approve the minutes of August 24, 2006 and items on the Consent Agenda was made by Alan Rimer, seconded by Matt Vizithum, and carried without dissent. VI. Reports and Discussion with Possible Action A. Review Primary Care at SHSC Grant Application Wayne Sherman reported that OCHD has been awarded a FY 06-07 continuation grant of $43,346 for the ongoing provision of primary care services in the Hillsborough clinic. We have also been offered the opportunity to apply for an expansion grant to increase access to primary care for uninsured and medically indigent patients. Grants of non-recurring funds up to $75,000 will be awarded for programs/initiatives of a sustainable program or initiative that increases access to care for uninsured and medically indigent patients at existing facilities, develops a new service delivery site; or creates or expands services provided to uninsured and medically indigent patients for medical services, dental services, pharmacy, or mental/behavioral health services. A second category is a capital request that will increase the applicant’s capacity to serve the uninsured by enhancing or replacing necessary facilities, equipment, or technology. OCHD is proposing to expand primary care services to SHSC in line with our Strategic Plan. We will be submitting applications in both categories to cover personnel, supplies, pharmaceuticals, equipment and renovation costs. Notification of awards will be made no later than November 30, 2006 with expenditures to be completed by May 31, 2007. There is a continued need for access to primary care services particularly for the uninsured and medically indigent in Orange County. Piedmont Health Services, a critical safety net provider of health care to low-income clients, has a 1-2 month waiting list to become a new patient at Carrboro Community Health Center. The Central Carolina Health Network, a network of providers serving the Medicaid population and working to build the infrastructure to care for a growing uninsured population, is seeking to add providers to its network. UNC Hospitals has discontinued its Urgent Care Clinic limiting alternatives for those without medical homes who use the Emergency Department for sick care. Clients currently receiving preventive heatlh services at SHSC have been requesting primary care and inquiring as to when we would be providing it at the site.