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BOARD OF HEALTH 2 OCTOBER 24, 1996 5. BOARD OF HEALTH GOALS 5.1 Evaluation of the Health Director Dr. Ives informed the Board that a meeting regarding the evaluation process of the Health Director was held on October 23, 1996, involving Dr. Margaret S. Carlson from the Institute of Government, Currie Cleon and Rick Marinshaw (former Executive Committee), Tim Ives and Brenda Crowder-Gaines (current Executive Committee) and Daniel B. Reimer. The purpose of the meeting was to review the recommendations on improving future evaluations of the Health Director dated July 31, 1996, and distributed in the August Board of Health packet. Dr. Ives distributed and reviewed the proposed draft evaluation process that came out of this meeting. Board members questioned, reviewed and made changes to the evaluation process step by step. Ms. Crowder-Gaines motioned to accept the evaluation process/evaluation tool as amended. The motion was seconded by Dr. Southerland and was passed unanimously. Liaison Board evaluation reviews assignments: County/Assistant County Manager - Dr. Ives , Ms. Crowder-Gaines Healthy Carolinians , Paul Halverson - Ms. Chavious, Dr. Foster Personal Health - Dr. Klein Animal Control - Dr. Cammarata Dental - Dr. Southerland Environmental - Mr. Marinshaw School of Public Health, Jan Dobbs - Ms. Chavious DEHNR, Leah Devlin - Ms. Crowder-Gaines Management Staff - Dr. Adler, Mr. Currie The Director will send out his self evaluation by November 6th so that reviews can be scheduled thereafter. The Board agreed not to have a Christmas dinner this year but to use the December meeting to finalize the Health Director’s evaluation. The Health Director reviewed a draft Orange County Health Department Conflict Resolution Process. The resolution is for any employee who feels in conflict with the Health Director. The resolution encourages people to use the grievance procedure as outlined in the Orange County Personnel Ordinance. The Conflict Resolution Process proposes an alternative to employees who do not wish to use this official process. Dr. Klein motioned to approve the Orange County Health Department Conflict Resolution Process as amended. The motioned was seconded by Dr. Foster and was passed unanimously. 5.2 Board Organization - Dr. Beverly Foster, Committee Chairperson Dr. Klein and Dr. Foster met with the Division Directors on October 17, 1996, to discuss the framework of Board goals and how they could be used to the benefit of the Board and the staff. The meeting focused on Board Goal #2. No changes to Board goal #4 were proposed. Dr. Klein presented the following proposed sub-committee structure and functions. The sub-committees will be determined as follows: 1. Entire Board reviews the following information: a. Community diagnosis. b. Level of interest in the community regarding important public health issues. c. Other reports that relate to a and b (such as Healthy Carolinians report) d. List of priority issues facing the Health Department (list of “Hot Topics”) 2. Entire Board decides on up to 4 concerns to be addressed by sub-committees. 3. Each Board member, except the County Commissioner member, signs up for one sub-committee Any sub-committee with fewer than 2 Board members will not be formed. The sub-committee responsibilities are as follows: 1. Enlist appropriate health department staff and community members to serve on the sub-committee. 2. Decide on the outcome measures that should be improved. Propose target outcomes. 3. Evaluate efficiency of health department strategy to reach these outcomes (such as programs, HD structure, allocation of resources). 4. Report to the entire Board at least semi-annually progress of the committee. 5. Report to the entire Board at least annually on need for continuation of the committee. In order to address important public health issues, Dr. Klein motioned to adopt the proposed sub-committee structure and the function of the sub-committees with a beginning date of 1997. The motion was seconded by Dr. Foster and passed unanimously.