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MINUTES ORANGE COUNTY BOARD OF HEALTH October 22, 1998 Board of Health Minutes Transcription completed by Patsy L. Bateman 6 October 22, 1998 III. ACTION ITEMS A. APPROVAL OF MINUTES (SEPTEMBER 24, 1998) There were no additions, deletions nor amendments to the minutes of the September 24, 1998 meeting. The motion to approve the September 24, 1998 minutes was made by Brenda Crowder- Gaines, seconded by Mel Hurston / Margaret Brown and carried without dissent. C. ITEMS FOR DECISION - REGULAR AGENDA Dr. Summers presented an overview of mandated health department services in the context of Board adopted core functions and essential services to lay the groundwork for the next several agenda items. The Early Head Start request, the Children’s Clinical Services and Sexually Transmitted Disease Prevalence item all relate to this background. 1. PROPOSAL TO CONTRACT WITH EARLY HEAD START This was a request to the Orange County Health Department from Chapel Hill Training and Outreach (CHTO), it was not something Orange County Health Department sought. This is a request for Orange County Health Department to add two family service coordinators, which CHTO would pay for through a federal grant. These positions would be county employees. They asked us to do this because this is a similar population to our intensive home visiting population 0-5 years in age. These are children who are at- risk for developmental delays and other health problems. CHTO sees the services that these families would get to be the same that the health department is providing through the intensive home visiting grant. This would provide for additional families to be covered and it recognizes the health department’s ability to deliver those community- based in-home services. We also have strong support from the Orange County Partnership for assuming this role. The two coordinators will likely be social workers. This has not been decided yet. In the intensive home visiting, there is one social worker and one nurse. Brenda Crowder-Gaines expressed concern about CHTO providing “facility upgrades and training” only in the first year of the grant. She asked whether the health department would be responsible for absorbing that after the first year. Summers replied that we could clarify that in the contracting process and that it was her understanding that this statement meant that CHTO was not developing its own daycare but using existing ones. The motion to authorize the Health Department to proceed with developing a contractual agreement with Chapel Hill Training Outreach was made by Jonathan Klein, seconded by Barbara Chavious and carried with an abstention by Brenda Crowder-Gaines. 2. CHILDREN’S CLINICAL SERVICES PROPOSAL The staff has prepared a draft proposal that has a six step plan of implementation. This is still a draft plan and needs input from the Board. The effort here is to look at the population of children being served by Orange County Health Department clinical services and to develop a plan for transitioning them to private providers. Why? Because the private providers can provide a full range of primary care services that we do not provide at the health department. The bottom page of the plan lists several items the Orange County Health Department would need in order to become a full primary care provider for those children. We believe, unsubstantiated at this point, that there are