BOH Agenda 092320 - Laserfiche WebLink

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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH August 26,2020 medical provider to improve a variety of conditions such as diabetes, heart disease, and obesity. Referrals are received from medical providers within and outside of the OCHD. The RDN conducts a review of the medical history, medications, diet, and lifestyle patterns and together with the referred client or a family member, if it's a young child. A personalized plan is developed to help them meet their nutrition goals. There were 852 encounters in FY 2019-20. The payment type for these visits is almost even: insurance at 34%, Medicaid at 33% and self-pay at 32%. • Diabetes Self-Management Education Services (DSME) ➢ This is an American Diabetes Association recognized program in which a client will receive 10 hours of education on the basics of diabetes prevention and management. There's an initial health assessment. They also sign up for 2 of the group education classes on the basics of diabetes care. Then the client will come back in 3 months for a follow-up appointment where knowledge is measured as well as any change in blood sugar management. Nutrition Services have partnered with local experts in the different areas of diabetes management including partnering with Walgreens to provide the medications and utilizing an exercise physiologist who's been working with Nutrition Services since 2005. ➢ The OCHD DSME program was awarded the 2019 John Bowdish Community Award from the North Carolina Diabetes Advisory Council at the Division of Public Health for providing outstanding service to community members with an emphasis of increasing access to care. ➢ OCHD DSME was selected by the North Carolina Diabetes Recognition Program, NC Diabetes Smart, to be featured in a statewide marketing initiative. Some of the OCHD staff were involved as mock participants in the video. ➢ Due to COVID-19, DSME classes went to a telehealth format on May 14th using Doxy.me and Zoom. In June, simultaneous Spanish interpretation via Zoom began. • Community Health Grant (CHG) ➢ In 2017, the CHG was awarded by the Office of Rural Health. A 2nd award was provided for an additional 3 year period. The purpose of this award is to increase access to primary care and self-management support services for residents with chronic disease. Groups specifically targeted include adults who are uninsured, on Medicaid or Medicare. The focus is on the chronic conditions of obesity, pre- diabetes and diabetes abnormal lipids, which is cholesterol and hypertension. ➢ A voucher program has been developed for some of the clients in which the $20 fee is a barrier. Diabetes tests and supplies are offered at no cost to help clients manage their diabetes. ➢ Some of the specific objectives and outcomes of the CHG include: o Working on increasing accessibility of interpretation services for the L.E.P. clients of the MNT and DSME programs. o Offering behavior change incentives by providing water bottles, calories tracking books, scales, exercise DVD's and step trackers. o Piloting a transportation assistance program for adults and pregnant women in which 45 rides were provided pre-COVID-19. Those funds have since been reallocated for telehealth services. • Primary care bag initiative ➢ The goal is to help people that have high blood pressure or diabetes self-monitor at home. Funds are used to purchase blood pressure cuffs and diabetes testing S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/ August Page 2