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H:admin/ann/boh/3796mins.doc 2 MARCH 8, 1996 In open session, moved to evaluate the performance of the Health Director at the effective level. It was seconded by and it passed by a five to four vote. 5. REVIEW OF THE MINUTES OF November 16 and December 14, 1995. Review of the minutes was postponed until the March 28, 1996, Board of Health meeting. 6. HEALTH DIRECTOR’S REPORT - DANIEL B. REIMER 6.1 Maternity Care Coordination Grant Mr. Reimer reviewed the history of the Maternity Care Coordination (MCC) program and the proposal to receive a grant to establish a permanent position. The Manager recommended this to the Board of Commissioners because the Department of Family Medicine has requested the Health Department’s assistance in accomplishing this service. The Board of Commissioners approved acceptance of the grant and establishment of the position at their meeting of March 6, 1996. Beverly Foster motioned to retroactively accept grant funding for the Maternity Care Coordination program and authorized the health department to enter into an agreement with the UNC Department of Family Medicine to provide MCC services to their prenatal clients for a trial period on one year which is contingent upon a review of the first year’s experience and that a permanent, time limited position be approved for a period of 12 months commencing with the date of hire which is projected to be on or about May 1, 1996. The motion was seconded by Ron Cammarata and was passed unanimously. 6.2 Realignment of Community Health Aide to Accounting Position Mr. Reimer informed the board that the Manager recommended that the department assess the functions of a recently vacated position of a Community Health Assistant and decide whether the department had a higher priority in the accounting area. After months of internal discussion and consultation with the school systems where the vacant position had been doing immunization reviews and other duties, the Director decided to made the request to realign the responsibilities of the vacant position, add hours making it a full time position and use the temporary funds allocated to the department to add to the lapse salary. The accounting technician position has been the number one priority for the last two years Mr. Reimer reported that the Commissioners did approve the realignment of a Community Health Aide to an Accounting position at their meeting of March 6, 1996, contingent upon board of health approval. The Health Department’s request to approve an increase in hours for a vacant Community Health Assistant position from one half-time to full time. This position will be reassigned to the Accounting Function in the Health Department. Beverly Foster motioned to retroactively accept the proposal to realign the Community Health Aide to an Accounting Position. The motion was seconded by Ron Cammarata and was passed unanimously. 7. BOARD MEMBER CONCERNS 7.1 Board of Health Retreat, March 28, 1996 The Board of Health next meeting will be a board retreat held at 5 P.M., at a location secured by the Health Director. Board members will be sent correspondence prior to that meeting. Mr. Reimer reminded members that Peg Carlson is needing surveys back by March 22, 1996, in preparation for the retreat. 7.2 Other The Commissioners have appointed a task force to study the possible effects of Federal Welfare Reform on local governments and make recommendations to the Board on the following issues: 1. Measurable county-wide outcomes in human services. 2. Human service priorities for the county and the acceptable minimum service levels (safety net) for children and families. 3. Current resources and the gaps in resources to support the safety net for children and families. The Board is expecting a report by the end of May. For anyone wishing to attend, the first session will be on March 8, 1996 at the Homestead Center from 10:30am - 12:30pm.