Approved Minutes of September 20, 2023

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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH September 20, 2023 • No Changes; policy was reviewed and updated by the Board at the June 28, 2023 meeting in response to follow up corrective actions from the May NCDHHS Administrative & Clinical Monitoring Visit. I.C. - Community Assessment Policy • Changed Health Promotion & Education Services Division to Community Health Services Division throughout the policy • Added detail about the newly formed CHA Leadership Team throughout the policy I.D. — Review of Reports and Documents • Revision on page 1, Procedures 2f. Fiscal Oversight— In order to exercise fiscal oversight, the Board receives quarterly financial summaries on revenues and expenditures by Division for the Health Department with two reports (August & January) given during scheduled Board meetings and two reports included in Board Packet but on the Consent Agenda. If a Board Member has questions, they may request that the financial reports be pulled from Consent Agenda and discussed during the scheduled Board meeting. At the discretion of the Health Director and Finance & Administrative Services Division Director, notable financial information such as variances out of the normal course of business may be presented to the Board outside of the prescribed schedule. I.E. - Operating Procedures BOH Manual IV. New Board Member Tasks • ( Page 3) V. Training • Board members shall complete New Board Member Orientation training with the Health Director within their first year of service. The Orientation training will provide an overview of the health department and highlight the authorities and responsibilities of the local board of health. • In accordance with North Carolina Local Health Department Accreditation Standards, Board members shall also complete ongoing training related to the authorities and responsibilities of local boards of health. At a minimum training shall occur at least once in between Accreditation site visits. Added new section on training as recommended by Accreditation Standards; the BOH has always completed training for new members and ongoing training for the full board, this practice was not spelled out in the Operating Procedures. I.E. - Operating Procedures BOH Manual —Appendix H — Confidentiality and Conflict of Interest • No Changes B. FY 2023-24 Personal Health Updates to Fee Schedule Carla Julian, Public Health Nursing Director, presented the proposed fee changes to the board. Ms. Julian explained that the vaccines are now sold commercially and that the cost of the vaccines is based on the different formulations and was not known until the week of September 11, 2023. These adjustments will ensure the cost to the health department is recuperated. The proposed fee changes are as follows: • Moderna COVID-19 Vaccine, Adult (12 years and older) (single dose vial): $115.00 S:\Managers Working Files\BOH\Agenda &Abstracts\2023 Agenda &Abstracts/ September Page 4