BOH Final Minutes of November 17, 2021

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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH November 17, 2021 Quintana Stewart, Health Director, provided an update on the opioid settlement. She began with some statistics on opioid deaths and overdoses. Below are some highlights of her presentation. • The statistics regarding opioid death can be found on the state's website https://www.ncdhhs.gov/opioid-and-substance-use-action-plan-data-dashboard • During 2000-2020, there were more than 28K deaths due to drug overdose. In 2020, there was an average of 8 deaths a day from drug overdoses in NC. • From 2015-2019, the rate of unintentional medication and drug overdose deaths per 100K residents was 10.2 in OC and 18.5 for the state. During the same time span, the rate of unintentional opioid overdose deaths per 100K residents was 7.6 for OC and 15.3 for the state. • Opioid litigation 0 76 out of 100 NC counties and 8 municipalities filed lawsuits in federal court to hold several companies involved in manufacturing, marketing, promoting, and distributing prescription opioid drugs. o The "5-5-5" Committee, comprised of 5 county commissioners, 5 county attorneys, and 5 county managers from various counties in NC came up with an allocation formula for NC. Commissioner Sally Greene sits on this committee. o The MOA allocation model — ■ 15% goes to the General Assembly ■ 80% to local governments —all 100 counties and 17 municipalities ■ 5% to county incentive fund —those counties that sign the MOA by January 2nd will receive an extra 5% ■ NC will receive $850 million. The funding will be dispersed over 18 years, front loaded in the first 3 years, gradually decreasing over time. o There are 2 options for the use of funds— 1)choose from an already approved evidence-based strategy 2)engage in collaborative strategic planning with the community to come up with a strategy. o There will be transparency as there will be annual financial and impact reporting and audit requirements. They'll also be a statewide opioid settlement dashboard. o Next steps include getting all 100 counties to sign on, strategic planning for usage of funds over time and working with counties to share best practices. The BOH had questions and comments that were addressed by Ms. Stewart. B. Update 15' Quarter Financial Reports & Billing Dashboard Micah Guindon, Finance and Administrative Services Director, provided an update on the 1s' quarter financial reports as there was an error in the financials presented at last month's Board meeting. • There was a typographical error on the pivot table used, which resulted in the retrieval of information further back in history than it should have. • The actuals for the revenue and expenditures presented last month were correct; however, the Annual Budget and percentage of Annual Budget were incorrect. • In the Revenue section, the correct Annual Budget is $3,287,485 million with the correct percentage of Annual Budget is 23.26%. • In the Expenditures section, the correct Annual Budget is $10,852,544 and the percentage of Annual Budget is 18.37%. S:\Managers Working Files\BOH\Agenda &Abstracts\2021 Agenda &Abstracts/ November Page 2