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MINUTES ORANGE COUNTY BOARD OF HEALTH MARCH 26, 1998 Board of Health Minutes Transcription completed by Patsy L. Bateman 2 MARCH 26, 1998 appreciation reception will “kick-off” the month and staff games will occur throughout the month. The Health Department will be co- hosting an open house in conjunction with the ribbon-cutting ceremony at the Southern Human Services Building on April 21, 1998. The motion to endorse the proclamation of Public Health Month was made by Brenda Crowder-Gaines, seconded by Beverly Foster and carried without dissent SMOKING CONTROL, PRESENTED BY ROSEMARY SUMMERS, BEVERLY FOSTER, CORNELIA RAMSEY Complaints have been received regarding smoking in public places. Brenda Crowder-Gaines raised the issue of where the Orange County Health Department is regarding the Smoking Control Committee. There needs to be a better understanding of the rules and an overall understanding of the rules procedure. One issue is the comprehensive educational program Cornelia outlined last fall. The Board needs to revisit the legal issues and rules with Geoff Gledhill; options were laid out last fall, and the Board never made decision. The major question is should we amend the rules to exclude exemptions; at this point we have only voluntary compliance. Put on Board agenda for April. Rosemary will report in April on specific actions needed. BREAST AND CERVICAL CANCER PROGRAM (BCCCP) SERVICE PLAN, PRESENTED BY EILEEN KUGLER The BCCCP is funded by CDC and the funding comes to Orange County Health Department through the State. This program is for low income women over the age of 40 to receive breast exams, pap smears, and mammograms. Funds can only be spent for screening and not for outreach purposes. Orange County Health Department’s BCCCP performance is on the bottom 5% of all health department performance scores. The Personal Health Division is working on a plan to improve these performance scores. Listed below are a few of the strategies developed: (for other strategies, please refer to the hand out received at the BOH meeting) • Develop and institute a comprehensive and effective client follow-up and tracking plan to influence delinquent, return and new clients to follow through with medical evaluations and mammograms. • Provide off-site community-based screening clinics to qualified BCCCP eligible women and ensure transportation needs are met to receive mammography services. • Strategically market BCCCP screening and heighten community awareness through a diverse and varied approach yielding a positive response for services. ORANGE COUNTY HEALTH DEPARTMENT VALUES AND PHILOSOPHY STATEMENT, PRESENTED BY ROSEMARY SUMMERS There was much discussion concerning the draft Core Values and Purpose. This was presented in draft form and the Board agreed these need to be re-worded. Beverly Foster suggested instead of saying preventing disease, to say that the role of fostering healthy lifestyle choices for citizens in order to prevent disease and lead to a better quality of life, -- we don’t want to focus just on personal health and healthy lifestyles, but preventing disease also encompasses things like safety, transmission, communicable diseases, environmental, etc. Three things will guide the rest of Orange County Health Department strategic planning. Adoption of core functions, essential services, and the value statements will give the department direction on how to make choices in implementing restructuring. Example: The prostate cancer project. If we have a core value that says communities and individuals are responsible for their own health, then the department will work with the community to educate them regarding all of the options before they make a decision on how they wish to proceed. If they choose to do go in a direction that as an agency we don’t feel is the best choice, our core value statement says that that’s their right to make their own choice and that we will not force our will on them as a provider. Tim Ives suggested a value statement reflecting an educational focus. Example suggestion: “We believe in affording opportunities in training, developing, and nurturing the next generation of practitioners.” Beverly Foster questioned the language of #4 and wished to broaden #2. Rosemary will redraft these and send to staff for input and have the Board revisit this again in April. 5. SCHOOL HEALTH PROGRAM (INCLUDING VISION SCREENING), PRESENTED BY EILEEN KUGLER Eileen Kugler reviewed the handout provided to the Board (attached). Barry Adler has suggested / volunteered to check into using different screening tests for the schools. 6. INTERIM HEALTH DIRECTOR’S REPORT, PRESENTED BY ROSEMARY SUMMERS COMMUNITY DIAGNOSIS The Community Diagnosis was submitted to the State on March 6, 1998. The executive summary is part of the Board packet. PATIENT FLOW ANALYSIS STUDY DHHS has a service that provides nurse consultants who look at patient flow and clinic studies and provide feedback. Forms were submitted in January requesting this service. The visit is scheduled for June 4, 1998, with the report being available on June 8, 1998. This report will be used in reconfiguring clinic services. EMPLOYEE COMMITTEE The Employee Committee met in February with the Interim Health Director. There were 3 primary issues identified that are continuing concerns for them. The first one was a lack of information flow from administration to employees and their perception that there are various informational roadblocks. Their second concern is that supervisors and managers aren’t responsive to work concerns in a timely fashion. Thirdly there are still “building issues” in Whitted --appearance and cleanliness issues they would like