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MINUTES-Draft <br />ORANGE COUNTY BOARD OF HEALTH <br />September 28, 2016 <br />S:\Managers Working Files\BOH\Agenda & Abstracts\2016 Agenda & Abstracts/ September Page 4 <br /> Coby Jansen Austin – Healthy Homes Pilot Program <br /> <br /> Ms. Austin stated the goals of the pilot which were to improve asthma control by <br /> reducing exposure to triggers and improving medication management. The <br />measures of success were determined by factors including ED/urgent care visits, <br />hospitalizations, missed school and self-reported control. During the pilot, the <br />Healthy Homes visits consisted of the Environmental Health Director, Alan Clapp <br />and a nurse (from UNC, CCNC, CC4C or school nurse). Early on, Family <br />Success Alliance (FSA) zone navigators attended visits as they had a valuable <br />connection with the families in their communities. <br /> <br />The assessment tools used included the EPA Asthma Home Checklist and the <br />NC Healthy Homes Assessment. Resources available to the clients were a free <br />green cleaning kit, use of a HEPA vacuum and a Quit Kit with free NRT for those <br />wanting to cease smoking. Sample testing of well water was also offered. To be <br />eligible, it was required that the child be between 0-17 years old, live in Orange <br />County and meet certain asthma control criteria. In the beginning, priority was <br />given to those in FSA zones, insured with Medicaid or uninsured. Referral <br />sources varied and were comprised of UNC Health Care, both school districts <br />and CC4C. <br /> <br /> After four weeks, there was a decrease in reported asthma symptoms. During <br />the three month follow up, a slight increase occurred, possible due to many <br />factors – change in weather, etc. Emergency room visits dropped tremendously. <br />Participant satisfaction results reported that 100% felt that the program was <br />helpful to decrease their child’s asthma symptoms. This information is with its <br />limitations due to factors such as response and recall biases. <br /> <br /> Colleen Bridger – Naloxone Statewide Standing Order and Cost Settlement Update <br /> <br /> Briefly, Dr. Bridger touched on a few highlights from each presentation. <br /> <br />• On June 20, 2016, Gov. McCrory signed legislation authorizing state <br />health director to issue statewide standing order for naloxone. <br />Pharmacies are able to dispense Naloxone without a prescription through <br />insurance. Patients without insurance can get naloxone kits at a lower <br />price through their local health department. <br /> <br />• In July, the General Assembly appropriated $14.8 million to local health <br />departments to offset reduced Medicaid reimbursement rates on the <br />delivery of direct patient service. Our health department will receive <br />around $220,000. <br /> <br />VI. Action Items (Non-Consent) <br /> <br />A. 2016-19 HCOC Action Plan <br /> <br />Ashley Mercer, Healthy Carolinians Coordinator, presented the action plans that address health <br />related goals. Each subcommittee of Healthy Carolinians created individual action plans to <br />address the recommendations suggested by community members during the 2015 Community <br />Health Assessment data collection process. In addition to the community’s input in their