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BOARD OF HEALTH 3 AUGUST 22, 1996 #6. Continue to develop relationship with County Commissioners and County Management. #9. Create a model of how Board meetings will progress during the year. Dr. Ives presented the strategies that were suggested to achieve these goals (pages 7, 8 and 9 of the Board packet). Following discussion on the strategies that were suggested, the Chair recommended the Board review all the proposed strategies and approve or amend them at the next meeting. The Health Director reviewed the following items that were requested by the Board: Notes from Dr. Carlson, Plan for the evaluation of the Health Director and the Evaluation of City Manager. 6. HEALTH DIRECTOR’S REPORT - Daniel B. Reimer 6.1 Employee Committee Kickoff Mr. Reimer reported that the committee on employees issues and concerns met on August 21,1996. The committee will assure that the Orange County Health Department employees have opportunities to express issues and concerns in such a way that they are systematically assessed and addressed. The committee will develop recommendations for consideration by the Division Directors and the Health Director for action. The results of the committee’s deliberations and the Division Directors action will be shared with the Board of Health on a periodic basis. 6.2 Dental Program County Award Mr. Reimer informed the Board that the Orange County Smart Start Dental Program has been selected to receive a 1996 Outstanding County Program Award from the North Carolina Association of County Commissioners. The program will be honored at the Business Session of the 1996 NCACC Annual Conference in Winston Salem on Saturday, August 24, 1996, at the Benton Convention Center. In addition, winning programs will be featured in the conference issue of County Lines and at a booth during the conference exhibit show. This is a major honor since only four of 19 entries were chosen in the Human Services Category. Mr. Reimer reviewed a resolution that was adopted by the Orange County Board of Commissioners meeting of August 5, 1996. Dr. Sander, Angela Cooke, and the Health Director were present to receive the resolution. Because Dr. Sandler and Ms. Cooke will not be available, Mr. Reimer will receive the certificate at the NCACC meeting. Dr. Sandler felt a similar resolution naming Angela Cooke, Dental Coordinator, Shannon Mitchell, Dental School Hygiene Coordinator and Wendy Hill, NC Dental Hygienist for Orange County would be appropriate recognition. Mr. Reimer presented the resolution for the Boards consideration. A motion was made by Dr. Klein to adopt the resolution and present it to the Dental staff at the September Board of Health Meeting. The motion was seconded by Dr. Foster and passed unanimously. 6.3 Report of Activities The Health Director updated the Board on the following activities: Health Director’s Workplan - Updates to the Health Director’s workplan were provided to the Board. The workplan provides additional performance notes printed in italics to distinguish them from previously reported notes. Jail Health - The Health Director and Personal Health Services Director met with the County Sheriff and the new director of the jail to discuss the jail health plan. Dr. Arthur Axelbank, physician for the Orange County Jail, recommended that a nurse be available in the jail to dispense medications and attend to other health needs that cannot be managed within the contract the jail has with Orange Family Medicine and are beyond the scope of the jailers. Following that meeting, the Personal Health Services Director and Adult Health Services Program Supervisor made a site visit to the jail and have consulted with faculty at the School of Public Health and School of Nursing; and have received information from two other counties that operate jail health programs. This assessment will result in recommendations from the health department on how the jail might assure quality health care services for inmates and whether there is an appropriate role for the health department in meeting those needs. Rabies Plan - The Rabies Response Plan, prepared by the Animal Control and Health Directors was put in place just in time for the first case of rabies in a terrestrial animal in Orange County. Media coverage of the plan as presented to the Board of Commissioners alerted the community at large to the possibility of rabies and paved the way for a smooth response when the first case was reported on July 17, 1996, and confirmed by the State laboratory the following day. John Sauls, Animal Control Director, received much deserved public support in news articles.