BOH Minutes of 042220 - Laserfiche WebLink

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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH April 22, 2020 • The basic components of the process are: o Self-Assessment by the Agency ➢ Health Department Self-Assessment Instrument (HDSAI) is completed by all health departments and submitted with all accreditation evidence. o Site Visit ➢ A team of multidisciplinary team consisting of local public health professionals familiar with health departments, Environmental Health and the Board of Health will conduct a site visit and interviews. o Board Adjudication ➢ After the visit, the OCHD will receive notification from the Accreditation Board that will state whether accreditation was granted. • Activities and Scoring Requirements o Agency Core Functions and Essential Services ➢ Assessment— OCHD must meet 26 of 29 activities ➢ Policy Development— OCHD must meet 23 of 26 activities ➢ Assurance - OCHD must meet 34 of 38 activities o Facilities and Administrative Services - OCHD must meet 24 of 27 activities o Governance - OCHD must meet 24 of 27 activities ➢ Most of the activities that affect the Board of Health are in the Governance standard. If an agency is assessed 4 or more "Not Mets" under Governance, they will not be recommended for reaccreditation —what the Board of Health does for local public health is very important, and the accreditation standards reflect this importance. ■ The Board of Health-related activities are placed into the following 5 categories: finance, community health, health director/staff, Board function and rules and ordinances. The Board's requirements of tasks for each category was conveyed to them during the presentation. • The Law o NC health departments are required by General Statute to be accredited and maintain accreditation status. Additionally, G.S. 130A-34.4 states that by July 1, 2014, in order for a local health department to be eligible to receive state and federal public health funding from the Division of Public Health, they must obtain and maintain accreditation pursuant to G.S. 130A-34.1. • The "Roles and Responsibilities of Boards of Health Related to N.C. Local Health Department Accreditation (NCLHDA)" guide was reviewed with the Board. The NCLDHA is a general overview and tool that can be used by any Board of Health governance structure. There are also a number of activities for which the Health Director may serve as the designee for the BOH and there must be a link between the Board and Health Director demonstrating that the Board was updated, involved and engaged in the particular activity. o The guide breaks down the Board role into 5 types of involvement. ➢ Ensure you have required policies, procedures or materials. ➢ Hear or review LHD reports. ➢ Discuss service costs, need for new/amended rules or ordinances. Documentation of this must be reflected in the minutes. ➢ Approve fees and budgets. ➢ Take other actions or be involved with efforts to assure the health department has what it needs to do its job. • What can you do to be a "good" BOH member? o Attend meetings regularly, so quorums are reached and, thus, required items can be approved on schedule. S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/ April Page 4