Agenda - 11-24-2008 - Laserfiche WebLink

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Advancing the Strategic Plan for the Health Department Related General Statutes and Administrative Code NC General Statutes 130A-1 & 366; 130A-144; NC Administrative Code 10A 45C.0101 & 46.0201- .0216; Title V and Title X Federal Regulations Current Strategic Plan There were four Community Programming focus areas in the Strategic Plan. Three will be addressed this evening. 1) Access to Medical/Dental Services with Emphasis on Disparity Outcomes • Second priority identified by community in 2007 Community Health Assessment • Increasing uninsured/underinsured populations; the 2005 estimate is 32,208 people with no insurance Dental • Patient waiting lists at both locations • 46%of patients are 0-80% of sliding scale & 35.6% Medicaid • Enormous need for interpreter services • Limited access at two sites due to staffing limitations ➢ Next Steps/Needs ✓ Fund permanent staff to support two full-time clinics • Add interpreter to staff to reduce contract interpreter costs ✓ Preventive dental package for local small businesses Medical • 10,000 clinical visits in 2007-08 not counting flu shots • Primary Care medical home for over 400 residents; 75% of sliding scale at 0-40%pay • Primary Care services supplemented by grants ➢ Next steps/Needs ■ Stabilize staffing by transitioning grant funded temporaries to permanent ✓ Collaborate with Piedmont Health Services for preventive service package for small local employers 2) Chronic Disease Prevention • 11,930 children(38.5%) who are obese; 2-4 year olds higher than state average • Diabetes rates are growing in children and adults across the state • Uncoordinated activities throughout county on obesity reduction • Concentrated focus area for all funders both public and private ➢ Next steps/Needs ✓ Collaborate with medical providers to sponsor diabetes self-management programs through Statewide Diabetes Umbrella& on tools for obesity prevention ✓ Work with Healthy Carolinians to adopt and promote a coordinated county-wide plan and messages for obesity reduction using Eat Smart Move More Tools ■ Seek funding resources to increase part time nutritionist to full time 3) Protecting Orange County Water Resources • Continues to address a Board of Health Initiative proposed in the early 1990s • Addresses directly human health impacts of water resources • Next Steps/Needs ✓ Septic System repair fund for low income residents ■ Pursuit of a pilot project to expand WTMP septic system monitoring in critical watershed areas through Clean Water Management Trust Fund grant.