Approved Minutes of October 25, 2023

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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH October 25, 2023 surveys are an accreditation benchmark, to which Ms. Stewart replied yes. Currently, there is not a specific standard to meet with regard to customer satisfaction, simply a requirement that we get customer feedback and have a process to follow up on any complaints. VII. Actions Items A. Chair/Vice Chair Slate Mr. Bagby explained the process of setting the chair and vice chair slate and clarified that generally the people nominated and voted in are members who have been on the board for a little while, as they need the knowledge to do the job well and an awareness of the work and time commitment required. Dr. Jonnal added that on the Orange County Board of Health, traditionally the vice chair becomes the chair after one year and a new vice chair is nominated based on their tenure on the board, and that this is a very equitable process that ensures everyone will eventually get a turn. Mr. Bagby also shared that there is an executive committee responsible for agenda planning, which consists of the previous chair, the current chair, and the vice chair, allowing the prior chair to share knowledge and support with the newly selected chair and vice chair. Dr. Royce asked about the practice of replacing the chair each year and whether this was something the board wished to continue. Mr. Bagby explained that this has historically been the case but that the board could reevaluate the practice if desired. Mr. Whitaker added that in his previous tenure on the board this was also how things were done, although the step from vice chair to chair was less automatic. Ms. Stewart shared that there are boards of health in other counties where the chair will sit for multiple years, but that Orange County has generally favored the practice of rotating annually. Ms. Stewart stated that Dr. Jonnal, as the 2023 vice chair, has been put forward for the 2024 chair and that Dr. Stuebe, as the second most senior member of the board, had been put forward for the 2024 vice chair, but that other nominations were welcome. Dr. Jonnal added that nominations can be put forth now or over email, and that the vote will take place at the November meeting. In response to Dr. Crandell's question of how much extra time is required per month to complete chair/vice chair duties, Mr. Bagby noted that one thing he has experienced as chair is that he is typically contacted at least once per month with questions related to the health department or health in Orange County, and that these questions are often outside the scope of his role and he must spend extra time addressing or finding the correct person to address these questions. Dr. Jonnal added that the monthly meeting to set the board's agenda typically lasts around 40 minutes and is conducted virtually (though it used to be in person prior to the pandemic). Dr. Pickett stated that she believes this is a strong slate. Dr. Jonnal expressed that her only concern is that she and Dr. Stuebe are both physicians, which could potentially lead to bias or present a conflict with board responsibilities, i.e., if both were called in to work at the same time as a meeting. However, Dr. Jonnal said that this is unlikely, as she mostly performs shiftwork these days. Dr. Stuebe added that she is only on-call for five weeks out of the year and would likely be able to ensure that those weeks did not overlap with any board of health meetings. Mr. Bagby mentioned that, as the prior chair, he could step in to preside over a meeting should something happen that precluded both Dr. Jonnal and Dr. Stuebe from attending. S:\Managers Working Files\BOH\Agenda&Abstracts\2023 Agenda&Abstracts/ October Page 5