Approved Minutes of September 25, 2024

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MINUTES ORANGE COUNTY BOARD OF HEALTH September 25, 2024 • No Changes. I.E. — Operating Procedures BOH Manual • IX. Officers and Committees C. 3. & 5: Updated the Priority Committees to reflect new priorities identified in 2023 CHA. • X. Meetings G. Minutes: Updated broken link to access minutes. • XVI. Adjudication Procedures A: Defined days as "Calendar days" (update made at BOH Retreat in March 2024). • XVII. Annual Review of the Health Director: Added updated guidelines to detail Board members use of County HR PERFORM program in NeoGov. I.E. — Operating Procedures BOH Manual —Appendix H — Confidentiality and Conflict of Interest • No Changes. There were no comments or further modifications recommended during the meeting. The board will vote to approve these changes at the October meeting. Vill. Actions Items A. Community Health Improvement Plans (CHIPs) Marcy Williams, Health Promotion and Education Services Manager, presented the proposed Community Health Improvement Plans (CHIPs). Some highlights of her presentation are below: • Ms. Williams reviewed some of the highlights from the most recent Community Health Assessment (CHA), including that suicide is the ninth leading cause of death in the county, the African American infant mortality rate in Orange County is six times higher than the rate for white infant mortality, Orange County is one of the five least economically equitable counties in North Carolina, and that top community concerns include affordable housing and access to mental health resources. • Orange County Health Department operates using the Results-Based Accountability Framework; Ms. Williams provided a brief overview of this process and the concept of "Turn the Curve" thinking. • For each of the three priority areas identified by the CHA—Access to Care, Behavioral Health, and Connections to Community Support— Ms. Williams reviewed the results statements (i.e., what it would look like if we perfectly solved this problem), measures to track progress towards the goals (i.e., indicators), and provided a list of things that are known to work to help address each priority area. • Ms. Williams concluded by providing a link to the Healthy NC 2030 Scorecard for Orange County (which can be found at https:Hembed.clearimpact.com/Scorecard/Embed/80939) and a brief overview of how the dashboard can be used to track progress on the CHIPs. • In response to Dr. Pickett's question about one Behavioral Health peer education program, "Seize the Awkward," Ms. Williams explained that this is a program that encourages young people to embrace the awkwardness of growing up and to discuss mental health struggles with their peers. • Dr. Crandell asked about the purpose of indicators, to which Ms. Williams explained that the state requires each priority area of a CHIP to have at least one indicator that aligns with the Healthy NC 2030 Report, allowing comparisons between the county and the S:\Managers Working Files\BOH\Agendas &Abstracts\2024 Agenda and Abstracts/ September Page 7