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MINUTES ORANGE COUNTY BOARD OF HEALTH February 26, 1998 Board of Health Minutes Transcription completed by Patsy L. Bateman 2 February 26, 1998 The following motion was made. The Health Department supports cancer prevention education in the community, especially prostate cancer education with a special focus on the risks of screening and with an emphasis on early detection. The Health Department will act as a technical consultant to develop the educational format and informed consent procedures. The Health Department agrees to perform limited screening called for in the grant. The motion was made by Janet Southerland, seconded by Ronald Cammarata and carried without dissent. RECEIPT OF INTENSIVE HOME VISITING GRANT FUNDS, PRESENTED BY ROSEMARY SUMMERS This grant has come to the Board previously. A final budget is attached. We have received this grant as an amendment to the State contract. The motion to accept the Intensive Home Visiting Grant Funds and authorize the Director to sign the amendment to the consolidated contract was made by Janet Southerland, seconded by Beverly Foster and carried without dissent. ADOPTION OF 1998-99 BUDGET, PRESENTED BY ROSEMARY SUMMERS Departmental Summary There is a requested increase of 11 3/4% in Personnel due to new positions and requests for additional time in current positions. There are 2 Family Nurse Practitioners that are not working full-time and the request is to have them both raised to full-time. Two Health Educators, one a Sr. Health Educator and one Public Health Educator I are requested. The Sr. Health Educator is the project coordinator position in the Efland-Cheeks community and the Health Educator position is the Teens in Power Coordinator that is currently three quarter time. Two additional personnel are requested for Environmental Health, one Environmental Health Program Specialist and another Environmental Health Specialist. In addition, a Public Health Nurse I that would be specific to a program that is focused on home visiting for disabled adults and a Medical Office Assistant position are also requested. The operational increase is 3.96% primarily due to four factors. One is an increase in professional contract services. This year for the first time, the dental director services were contracted through the dental school for a partial year contract in FY 98-99. The Orange County Health Department will pay for the entire year. In addition, there is an increase of professional contract services in anticipation of needing to change clinical services; to become a full ACCESS provider, Orange County Health Department will need 24-hour physician coverage. Orange County Health Department is currently talking with Family Medicine to extend their contract for physician coverage to 24 hours. Increases in medical and pharmacy supplies and in the bonds and insurance category, round out the operational increases. Divisional Budget Summary This shows that the Management/ Vital Statistics area went up 40%. This represents the transfer of two positions from Personal Health into the Management and Vital Records budget. Two Health Education positions that are currently on staff, Cornelia Ramsey and Louise Echols were transferred into a newly configured Office of Community Education. There is an increase in contract services to take care of several things. One is the Board request to develop a crisis preparedness plan. The consultant has given us a figure of $2,000 to do that plan with the staff. Also included are student stipends in the professional contract services line. Orange County Health Department shares a position with other human service agencies for a Systems Analyst position and our portion of that person which had been absorbed in Personal Health is now reflected here. The Dental Health increase of 11% is primarily due to increased building rent in Carr Mill. They will be the sole Health Department occupants in Carr Mill. Dental will have increased space in Carr Mill and therefore their building rent portion will be increased as well. Other increases include the professional contract for the dentist and bloodborne pathogens. Personal Health has the second smallest increase. This is partly because of the transfer of resources from Personal Health into Management. Increases are in the two new positions and in the professional contract section. Environmental Health has the two new positions and that is their primary increase. Animal Control is the least changed. There are no major increases. Revenue Summary Overall revenue is projected to be up by 6.7%. Ron Holdway has proposed a new fee schedule for Environmental