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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH September 20, 2017 S:\Managers Working Files\BOH\Agenda & Abstracts\2017 Agenda & Abstracts/ August Page 4 the County Manager approved the proposal to allocate wellness funds ($10,000) to support one of the Health Department’s registered dietitians’ salaries to provide Nutrition Counseling and Diabetes Self-Management Education services that are not covered by the County Health Plan. The County Health Plan only covers nutrition services for people with diabetes, obesity, hypertension and/or abnormal lipids. The purpose of these funds is to increase access to these preventive services to keep employees well and to reduce health care costs due to uncontrolled illness. FY16-17 Service Data  29 Individual MNT Appointments  45 Group MNT Classes  2 DSME Appointments FY17-18 Service Data  24 Individual MNT Appointments  8 Group MNT Class  3 DSME Appointment Next steps include:  Coordinating outreach efforts with HR Wellness Initiatives o Offering quarterly group MNT appointments o Continuing individual appointments o Disseminating promotional emails o Continuing new employee orientation  Showing the need for continued use of funds as county funds may not be available C. STOP Act Dr. Stephanie George, Dentist, provided an update on the Act, which was signed in June, whose purpose is to decrease the circulation and misuse of opioids in NC, which in turn will reduce the overall mortality and morbidity from these drugs in this state. The Strengthen Opioid Misuse Prevention (STOP) Act of 2017, or STOP Act, was intended to reduce the supply of unused and misused opioids circulating in NC, reduce doctor shopping and improve care by requiring prescribers to use tools/resources that help prevent inappropriate prescribing. Dr. George’s presentation summarized the implications of the S.T.O.P. Act on the OCHD Dental Clinic as well as outlined steps currently taken to reduce opioid dependence and its implications for the clinic’s patients. Highlights include: • The Act targets Schedule II and Schedule III opioids. • Three people die per day in NC from opioid overdose. • Over 1200 unintentional opioid deaths occurred in 2016. • Effective September 1, 2017, pharmacists must input controlled substance prescriptions into the North Carolina Controlled Substances Reporting System (NCCSRS) by the close of business day. Previously, they had 3 days to do so. • The NCCSRS database is real time and is updated immediately. Providers can check to see if a prescription has been issued for a patient prior to writing a prescription. • Pharmacist can also call provider if they feel a prescription may be fraudulent or if a patient is misusing opioid.