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MINUTES ORANGE COUNTY BOARD OF HEALTH February 22, 2001 Board of Health Minutes Transcription completed by V. Anne Miles 4 February 22, 2001 schedule changes. The WTMP implementation is part of our strategic plan. We also have a little bit of money included in the budget to support training for a possible CDC position we have applied for…a public health prevention specialist that CDC assigns on a 2-year basis. CDC pays for their salary for two years. The host agency is responsible for providing continuing education, travel support, and general office support while they are here. The position that we asked CDC for would be working in Environmental Health primarily to identify properties and homes that have no indoor plumbing, and to begin to work on building the WTMP database. Health Promotion and Education Services: A new position request that is partially fee supported is in response to Core services identified in the long-range plan. Clinical services currently do not have health education plans that are well developed and this position would be able to focus on that as well as additional community nutrition education. This budget request also includes the start of a loan library for equipment for educational programs. This represents a shift from direct provision of some health education services to a more "train the trainers" approach and becoming a resource base for people who are doing health education in the community. Personal Health Services: There is an increase in the budget for an OSHA required "needle-less" system that is expensive. The pap smear increase is also significant due to the $2 to $8 escalation in lab cost. We provide 700 to 800 pap smears per year, which adds up to a significant cost. Lab, medical, and pharmacy supplies have risen faster than any other cost item. A new fee is to be established for meningococcal vaccine that is now a recommended vaccine for college students before they enter college. Since we have the UNC population, this might be a service we could offer to the college students and recover 100% of our costs. This budget also includes additional flu vaccine that we are anticipating for next year. The flu vaccine is always a zero-based expenditure because the cost is recovered. The renovation of the Whitted building is still pending replacement of the heating and air conditioning system. When that gets on schedule, then the renovation is ready to go. A one-time rent expenditure may be added to this budget as well to cover temporary relocation. The Sheriff and County Manager would like to have a business plan for a jail health program that would begin next year. Therefore, we will be in the process in the next month or so of trying to put together a business plan of what that service will cost. We need to separate out the various aspects, the pharmacy, medical lab, nursing, and medical coverage, and see which pieces are going to fit together with what we have and which may need to be contracted. Included in the Smart Start Grant, are the Community Health Awareness Project, Child Service Coordination, and Intensive Home Visiting. The