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BOARD OF HEALTH MAY 22, 1997 5 identified who can locate those resources and say, “This is what Orange County wants, can you develop that for us?” Perhaps funding from Glaxo could be obtained. In the area of Dental Health, the Director previously distributed a memorandum regarding options for Carr Mill services. This will be brought to a later agenda, but the Director wanted to get it out early for discussion. It has gone to John Link and Pam Jones, Purchasing Director in charge of facilities. Mr. Reimer reported that the medical back-up contract arrangement is going very smoothly. The physicians are showing up on time and working well with staff. Everyone is pleased with the way it’s operating. Staff is collaborating with Family Medicine to reorganize the clinic so that a new and innovative approach will exist by July 1. Eileen Kugler and her group deserve the credit for this. Mr. Reimer reminded attendees that the next meeting of the Orange County Healthy Carolinians Task Force is Tuesday, May 27th and that BOH members should have received invitations. Other Highlights -- Mr. Reimer noted that a very exciting staff meeting was held on Wednesday regarding the Strategic Plan. The list of issues developed at the April Board of Health Meeting was reviewed and worked over from several different perspectives. There is a lot of excitement about the prospect of moving in new directions and there was more interest in taking a new direction than Mr. Reimer anticipated. Many who have been involved in the community based public health retreats are really seeing a new vision for the Health Department and are anxious to get more out into the community and less involved in clinical activity. Staff is seeing where our strengths are and seeing that some of the things being done inside our walls might be better accomplished by somebody else. Staff in interested in participating in a “SWOT” team, which is a process that analyzes Strengths, Weaknesses, Opportunities and Threats and is going to run that exercise in their next team meeting scheduled for early June. Mr. Reimer will be coming back to the Board in June with feedback from the staff. The first case of rabies inside Chapel Hill was reported. A call was also received regarding some dead raccoons by the theater on campus. There has been quite a flap over it because the State lab has had such a huge spiking of lab requests that testing has had to be prioritized. The lab only accepts those cases where there has been an exposure. Commissioner Margaret Brown has expressed her concern about the rabies issue and wants to know what type of emergency plan is in place. Mr. Reimer told Ms. Brown that Dr. Cammarata and John Sauls have been meeting with APS and that he will be briefed on May 23rd regarding recommendations. Ms. Brown asked that serious consideration be given to having free rabies clinics. This was a suggestion she made at the Commissioners’ Meeting in April. This issue is being considered at tomorrow’s meeting. 9. ADJOURN In preparation for adjournment, Dr. Ives said that next month there would be a brief commentary on the appointment/reappointment process, which has never really been clarified. There needs to be a set policy among the Board members as to how replacements will be looked for. He requested that Board members provide Cyndi with their e-mail addresses to be included on the Board roster. Dr. Ives suggested that the Board give some thought as to whether or not this is still a good time to hold Board Meetings. He also suggested thinking about the style of the meetings and whether the agenda needs to be cut down, etc. His final admonition to the Board was, “Get an attitude! We’re doing some pretty innovative things and we’ve never really given ourselves credit or applied for awards.” With no further business, the motion was made by Dr. Klein, seconded by Dr. Foster and carried to adjourn the meeting.