Approved Minutes of March 2, 2024 Board Retreat

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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH RETREAT March 2, 2024 without measuring the space first, which means that Environmental Health Services must be very deliberate about measuring, which they now perform with GPS technology. • Dr. Baldwin asked whether the deadlines for adjudication include weekends, to which Ms. Hudson replied that the adjudication timeline is in calendar days, not working days (meaning yes, weekends are included). • Dr. Crandell recommended that, because many appellants want to be heard, it is important for board members to remain nonchalant about any information that seems spurious, to ask questions, and to show interest in the appellant's case. Mr. Whitaker also suggested that questions about evidence that seems irrelevant could focus on how the evidence and claims being presented align with what the appellant is requesting. Dr. Jonnal added that it's important for the board to present themselves as they are, which is a group of people who are looking out for the public's health. • Ms. Royce noted that it must be difficult for the Environmental Health Services staff to be on the front lines and to deal with people who are experiencing disappointment about their plans not working out and expressed her support and appreciation. • Ms. Hudson shared that for the real-life case that the small groups discussed, they were able to work with the builder to reach a conclusion to abandon the current well and drill a new one to accommodate the desired construction. The retreat resumed after a 45-minute lunch break. Because early voting was available at the Seymour Center next door, some retreat participants took the opportunity to vote during the break. Presentation of CHA Data and CHA Priorities McKayla Creed, Healthy Carolinians of Orange County Program Coordinator, presented the priority areas selected for the Health Department for the next four years based on the data from the Community Health Assessment (CHA). Some highlights of her presentation are below: • Ms. Creed presented the selected priorities based on data gathered during the CHA. The top four concerns expressed by community members and the CHA leadership team included affordable health care, mental health, affordable housing, and the cost of healthy food. The three priority areas chosen were Access to Care, Behavioral Health (including mental health & substances of any kind), and Connections to Community Support (connecting community members to resources, etc.). Ms. Creed reviewed these priorities along with some indicators that align with the state health improvement plan and examples of potential goals. However, Ms. Creed clarified that these potential goals may change after the retreat, as the strategic planning process has not yet begun. • Ms. Creed explained that the priority area Connections to Community Support focuses specifically on the Social Determinants of Health and on strengthening partnerships with community resources. She specifically highlighted the topics of housing, unemployment, Adverse Childhood Experiences (ACEs), and access to exercise opportunities and healthy food. S:\Managers Working Files\B0H\Agendas&Abstracts\2024 Agenda and Abstracts/130H Retreat Page 7