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MINUTES ORANGE COUNTY BOARD OF HEALTH June 26, 2003 Board of Health Minutes Transcription completed by V. Anne Miles 2 June 26, 2003 will not conflict or interfere with any procedures prescribed by the County’s Revenue Department. The existing policy also puts into writing many of the current practices for the services. It also defines what constitutes a septic system that is “in-use.” The “in-use” consideration is critical to some situations where a client wants to reuse or reconnect to a vacant system. “in-use” is referred to in State rules for wastewater systems, but it is not defined, so this policy establishes an official approach to those situations. On June 11th, the ACEH Committee reviewed these policies and approved them to go to the full Board of Health for consideration. The ACEH Committee also asked that staff develop an educational brochure for the public that would simplify these policies and other aspects of the application and field processes for working in the field. Staff developed a draft document for clients 2 – 3 years ago, but its implementation was stalled because of several factors including coordination with the Planning Department requirements, the prospect of a new integrated computer system for all agencies involved in construction activities (not in place) and other factors related to interagency communication. The committee also asked that this document list current fee schedules and address timeframes for service delivery for applicants. Staff will revive the draft document and present it to the ACEH Committee in coming months and will move forward with its approval and use as appropriate. C. After Hours Jail Health Coverage Renewal OCHD began providing jail health services for the Sheriff’s Office in Fall 2001. An experienced Family Nurse Practitioner works 40 hours per week Monday through Friday providing medical services to jail inmates. We have been unable to recruit a weekend nurse as budgeted. To assure necessary after-hours medical and pharmaceutical consultation was available, we entered into a contract with UNC Family Practice on April 1, 2002 to provide such coverage. This contract is a continuation of that service for FY 03-04 at the same rate of $6,000/year. The contract has been forwarded to the Sheriff for review and comment. The motion to approve the Consent Agenda of June 26, 2003 was made by Martha Stucker, seconded by Barry Adler, and carried without dissent. IV. Reports and Discussion with Possible Action A. 03-04 Jail Psychiatric Services Contract A growing number of inmates in the Orange County Jail suffer from serious mental health conditions. The department contracted this past year with Hans Stelmach, MD, a Psych iatric Resident at $65/hour for evaluation, intervention and treatment of the inmates referred by the Jail Health Family Nurse Practitioner. Dr. Stelmach is graduating from his residency and will be going into private practice as of June 30, 2003. He has indicated he can continue with us for a short period of time but at an increased rate of $150/hour. Wayne Sherman reported that the department has been working with OPC Mental Health, and has identified another community psychiatrist who is interested in working with the jail population. Dr. Amy Trivette, MD would work up to 4 hours per week with the jail at $57/hour. The county would provide professional liability insurance