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<br />Roles and Responsibilities of Boards of Health Related to NC Local Health Department <br />Accreditation (NCLHDA) Guide <br />Note that this guide is applicable to all Board of Health (BOH) governance structures- unless otherwise stated (such as specific mention/inclusion of the Advisory <br />Committee on Health (ACH) being able to meet that activity), the activity is required of whatever Board (traditional BOH (single county, district, or authority), <br />Consolidated Human Services (CHS) Board, or Board of County Commissioners (BOCC)) assumes the powers/duties of the traditional Board of Health. See the <br />HDSAI and HDSAI Interpretation for more detailed information. <br /> <br /> Existence of Policy, <br />Procedure, or <br />Materials <br />Hear or Review Discussion Approval Other Action or <br />Involvement <br />Finance <br /> 33.1: minutes reflecting <br />discussion of budget, <br />specifically local dollars <br />37.2: policies in <br />compliance with <br />LHD’s policy on <br />policies (related to <br />administration) <br />33.2: official approval of <br />budget from appropriate <br />authority <br /> 33.5: minutes reflecting <br />discussion of service costs <br />proposed/ provided by local <br />health department (LHD) <br />37.6: BOH minutes or <br />CHS Director <br />correspondence <br />showing discussion & <br />approval of a budget <br />process to address <br />workforce issues <br />*39.1: BOH/ACH <br />correspondence with BOCC <br />and unit of government/ <br />funder in support of LHD <br />efforts to secure financial <br />resources <br /> 33.6: minutes reflecting <br />discussion of three financial <br />reports demonstrating <br />assessment of financial <br />accountability <br />39.3: minutes <br />reflecting discussion <br />and approval of <br />department budget <br />and fees <br /> <br /> *39.1 BOH/ACH minutes <br />reflecting endorsement for a <br />grant application or request <br />for additional funding <br />