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MINUTES-Draft <br />ORANGE COUNTY BOARD OF HEALTH <br /> March 27, 2019 <br />S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ March Page 2 <br />Ric Bruton, Senior Community Executive, Cardinal Innovations, presented on how county funds <br />are used to support Cardinal Innovations programming in Orange County (OC). Below are <br />some highlights. <br /> <br /> Local Maintenance of Effort (MOE) Funding <br />• The counties will give monies to support programs per the statute. <br />• OC contributes $1.3 million annually which is divided amongst 30 separate line items <br />and over 12 entities. <br />• This year, there’s nearly an even split between Cardinal and Orange County <br />managed funding. <br /> Programs that receive funding include Freedom House Recovery, UNC Department of <br />Psychiatry, Arc of Orange County, Haven House and Club Nova. Orange County also <br />has set aside a portion of the MOE funding for various programs to address community <br />interests that include services to undocumented people, assisting DSS with placements <br />and trauma focused therapy. <br /> Mr. Bruton presented graphs that displayed Medicaid and State data pertaining to the: <br />• Number of members served by age and diagnosis <br />• Members served and expenses by service category <br />• Members served and expenses amounts – crisis services <br /> Cardinal Innovations created the Community Reinvestment Initiative as a way to make <br />stable, sustainable investments across its 20-county service area. Hundreds of <br />proposals were received from entities and organizations. Funding totaling more than $4 <br />million was awarded. Recipients include Compass Center for Women & Families, El <br />Futuro and the YMCA of the Triangle. <br /> Mr. Bruton presented the newly revamped website and all of its new functions such as <br />the capability to find and access local, statewide and national resources with ease. <br /> <br />The BOH had questions that were addressed by Mr. Bruton. <br /> <br />B. Severe Vision Problems for Children and Adults <br /> <br />BOH member, optometrist and assistant professor at UNC School of Medicine Ophthalmology, <br />Dr. Bruce Baldwin, gave an excellent visual presentation on case reports of patients with <br />significant vision problems that are managed with special glasses or contact lenses. Below are <br />some highlights. <br /> <br /> The World Health Organization defines legal blindness as visual acuity of 20/200 or less <br />in the better eye with best glasses, and/or a visual field of 20 degrees or less. <br /> “Normal" vision is 20/20. This means that a person sees the same line of letters at 20 <br />feet that person with normal vision sees at 20 feet. <br /> A student with a visual impairment, partial sight or blindness, is eligible for Special <br />Education services. Visual impairment is a low incidence condition, but can have a high <br />impact on student performance. The Exceptional Children Division of the NC <br />Department of Public Instruction has developed a Statewide System of Support for <br />Students with Visual Impairments to help local education agencies understand and meet <br />the needs of their students with visual impairments. <br /> Some conditions/problems that affect visual acuity <br />o Stevens Johnson Syndrome <br />o Cataract <br />o Congenital cataract