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BOARD OF HEALTH 4 AUGUST 22, 1996 The Board expressed their appreciation to the Animal Control staff for all the hard work done in preparing for this outbreak.. CBPHI Shared Leadership Program - One of the objectives of the Kellogg Mini Grant was to support greater involvement of the health department in the CBPHI. An interdisciplinary team from the health department has participated with similar teams from the other four counties in a series of retreats to determine how the CBPHI principles could be applied more broadly within the health department. Representatives from the team met with the Health Director to assess support for new directions the team would like to implement. A meeting has been set for the team, the division directors and supervisors to explore proposals that the team will put forward. These meeting could result, either, in new initiatives or changes in the way existing services are carried out. Professional Services Contracts - The initiative to plan a managed care approach to Medicaid patients involving the Health Department, Piedmont Health Services, and the Departments of Family Medicine, Pediatrics and Obstetrics/Gynecology as well as UNC Hospitals, the Personal Health Services Director and the Health Director are reevaluating the current arrangement for medical coverage of the Health Department clinical services through the three separate contracts now in existence. The Personal Health Services Director has drawn up a “Request for Proposals” which includes the responsibilities of the medical school departments in all of the existing contracts. The Health Department has discussed the problems that patients and staff experience from the fragmented approach and have asked all of our contracting parties to help us assess whether there could be a more effective, more comprehensive arrangement. The Director has received feedback that indicated the departments are planning a joint response rather than separate responses to the request. Feedback on this response will be reported at the next Board meeting.. Personnel Issues - Significant concerns arising from the Animal Control Division have resulted in a series of meetings with staff. These meetings have been facilitated by the Health Director and a staff member from the Personnel Department to specify the concerns and develop action plans. A number of issues have been resolved and the process continues. With the realignment of the Audio Visual Technician position to a Public Health Nursing position, the Personnel Director has asked the department to assess whether the school health nursing position was the best use of the resources since the two school systems each received new school nursing positions. This request has required an assessment involving both school district officials and health department staff. Justifications of the need for the position have been received from both schools and the health department staff 7. BOARD MEMBER COMMENTS Board members would like for the Health Director to request the presence of the County Attorney at the next Board meeting to update the Board on the Orange County Smoking Control Rules. 8. ADJOURN With no further business, a motion was made by Ms. Crowder-Gaines and seconded by Dr. Klein to adjourn the meeting. The motion carried unanimously. The next regular Board of Health meeting will be September 26, 1996, at 7:30 p.m. in the OWASA Conference Room in Carrboro. Respectfully submitted, Daniel B. Reimer, MPH Health Director