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MINUTES ORANGE COUNTY BOARD OF HEALTH January 17, 2002 Board of Health Minutes Transcription completed by V. Anne Miles 2 January 17, 2002 1. HIV Case Management Services or Orange County Wayne Sherman reported that Orange County Health Department was approached in summer 2001 regarding providing HIV case management services in the community. This was presented to the PHEAD Committee who requested a need and cost/benefit analysis. The HIV Case Management Task Force was formed with wide representation to assess various options for providing these services. Recommendation from the Task Force was to support an HIV Case Manager position through the Health Department. This proposed position would be written into the FY 02-03 budget request. Martha Stucker recommended that the request for county funding for this position be tied to the UNC Hospital commitment for partial funding. Motion was made by Janet Southerland, seconded by Lee Werley, to support the proposed position of HIV Case Manager in the FY 02-03 budget request with a commitment by UNC Hospitals for partial funding. 2. Jail Health Agreement for After Hours Coverage OCHD began providing jail health services for the Sheriff's Office in fall 2001. An experienced Physician's Assistant was employed successfully but was unable to recruit a weekend nurse as budgeted. To assure that necessary after-hours medical coverage was available, a temporary contract was put in place with Orange Family Medical Group from 11/19/01 - 01/02/02. Since we have had no applicants for the nurse position and since the temporary contractual arrangement with OFC has worked well and is considered cost- effective, we are proposing to continue the contractual arrangement. Motion was made by Martha Stucker, seconded by Janet Southerland, and carried without dissent to approve the contract with Orange Family Medical Group for after hours jail health services and forward to BOCC for approval and signature. Jonathan Klein abstained due to conflict of interest. C. ACEH Committee 1. No Fault Well Repair Fund Policy During the past several months, American Stone Company and OWASA applied for and received a special use permit for the continued use of the current facility as a quarry until 12-31-2030. After that date, OWASA will operate the facility as a reservoir. As a condition of the special use permit, American Stone established a No Fault Well Repair Fund (NFWRF) for those residents whose property is within 3,000 feet of the perimeter of the quarry and who experience well failures not directly attributable to the quarry operation. The initial fund amount is $87,500 and can be augmented by $20,000 per year if needed to meet the claims of the residents within that zone of affection. Well failures that are a "probable result" of the quarry operation must be handled exclusively by American Stone at their expense.