MINUTES
NORTH CAROLINA ASSOCIATION OF LOCAL HEALTH DIRECTORS
Executive Committee Meeting
August 20, 1999
Grove Park Inn, Laurel Suite
Asheville, NC
CALL TO ORDER Š
President Maggie Dollar called the meeting to order at 1:15 pm. (See Attachments, Attendance Roster.)
President Dollar welcomed Mr. Lee K. Allen, Craven County Commissioner/Board of Health Member and President of the NC Association of Local Boards of Health.
APPROVAL OF MINUTES Š Wayne Raynor presented the minutes of the June 17, 1999 Executive Committee Meeting. Minutes were approved as submitted.
TREASURERÕS REPORT Š Wayne Raynor presented the TreasurerÕs Report which was approved as presented. (See Attachments)
Mr. Dennis Harrington represented Dr. McBride in a report from the state. Dennis reported that Local Health Services attempted to do one quarterly entry for budgets. He stated that there were delays on their part and then it had to be sent out to each section and that it has not been a smooth process. The ControllerÕs Office has been great to work with. A memo went out to local health departments on August 19, 1999 and with it were copies of the Consolidated Contract, Shelter Guidelines and the Stokes County billing worksheet. Dennis alerted members to be on the lookout for the availability of start up and conversion grants for adult day services. Barbara Pullen-Smith wanted the directors to be aware of training available for interpreters in health and human services. (See Attachment)
President Dollar acknowledged George Bond as the host county Health Director for NCACC and NCALHD.
Announcements
- President Dollar announced that the Latino services survey results are being printed. The data will be used later to justify more services.
- President Dollar announced that the Contested Case Bill was one of the legislative items we did not support and it did not make it out of committee. We need to thank Senator Lloyd Cooper for his help on that particular issue.
- President Dollar asked if everyone had received the memo on Healthy Carolinians funding from Mary Bobbitt-Cook. Doug Urland reported on Curtis HollomanÕs behalf that he would like to thank everyone who had answered his e-mail.
- President Dollar announced she had asked Mimi Cooper to serve on the Centralized Training Committee.
- President Dollar announced the Resolutions that were prioritized in the July meeting 1) Healthy Carolinians 2) Environmental Health Reorganization 3) Funding of Core Public Health Services were sent on to the County Commissioners for their meeting in Asheville. (see page 50 of July 15, 1999 attachments) The resolutions are a repeat of the same issues as last year, which is what we are focusing on and what we need to look at for year two and three. The resolutions are not being forwarded to the Resolutions Committee but they will be forwarded to the Legislative Committee of the County Commissioners Association and looked at through that process.
- President Dollar announced that Wanda Sandele was going to try to reach Dick Peruzzi about still trying to find funding for a Health Check Coordinator position for every county.
- President Dollar thanked Barbara Chavious for help with Spring Conference and sent a letter of thanks to Kay Lovelace. Ms. Lovelace is doing a study of Health Departments that are contracting or privatizing services. If you are contracting out any service and would like to share that with Kay you may call her at 336-334-3246.
- Bill Smith reported that if the NCALHD commits to increasing the membership in NACCHO there are some incentives that may include discounts for members to attend the National Meeting. Dues must be collected through the NCALHD and a lot have already paid for this year. Will work on getting something ready for the Spring.
- President Dollar announced there is another survey from the School of Public Health and it is very simple, please fill out and return.
- Dennis Harrington reported on the Public Health Leadership Group meeting. In attendance were 3-4 state people and 7-8 local health directors. We have met one time for about two hours. Minutes were sent out to everybody and a follow-up meeting is scheduled for the 26th. We took the minutes and some of the recommendations to the public health management retreat to look at all three divisions becoming one and educating them about core public health services. In summary what we adopted and agreed upon is that Accessing, Addressing and Assuring is public health functions and is the nationally recognized way of talking about services at all levels of government. Then we looked at the ten essential services that CDC designed through a two year work group.
- President Dollar reported that she had attended a couple of the County Commissioners Meetings to get a look at their issues and was able to attend the Mental Health Subcommittee meeting yesterday and heard about what is in the draft stage. J. T. Garrett is helping track that as well.
- J. T. Garrett gave an update on the redesign of DHHS-DMH/DD/SAS. The overview indicated a system that needs major overhaul with a Division strategy moving from funding services to purchasing of denied services. The goals were to develop consistency in quality, availability and access of services while strengthening clinical and financial accountability. The key policy issues were with the overall system structure and service provider network. Discussions on covered services would include a "benefit package". There would be a mandate of services based on consistency and standardization statewide with identical data elements in the system. The draft for public input and public forum is scheduled for September 17-October 4, 1999 with a final Division plan by November 19th. This represented planning for the legislative short session with the State auditors final report due by April 1, 2000. The implementation plan would be in three phases through July 1, 2001. (See Attachment)
- President Dollar reported that she attended a Sub-committee of Commissioners meeting yesterday that had two representatives from HCFA and their concerns were with Mental Health and the fact there is no patient choice. HCFA has been encouraging them to look at Regional Management Entities for the administrative side of things with services being delivered locally.
- Steve Keener encouraged more counties to participate in the Tri-State Institute Training.
- Danny Staley gave an update on retired health directors reception during NCPHA in September.
COMMITTEE ACTION ITEMS
No Action Items
No Action Items.
No Action Items.
Bill Smith reported on some by-laws changes that will be voted on in the next Full Association Meeting in October. Changes must be received in advance so they will also be in the minutes. (See attachment) Regional Representatives elected were: Region 2 is George Bond and alternate is Doug Urland; Region 4 is Bruce Parsons and alternate Ray Rabe; Region 6 is Tommy Jarrell and alternate is Curtis Holloman; Region 8 is Don Yousey and alternate David Rice and Region 10 is John Morrow and alternate is Wanda Sandele. The slate of officers for the upcoming year are: President is Tom Bridges; President-elect is Tim Green; Vice-President Wayne Raynor and Secretary-Treasurer is Jim Baluss from Edgecombe County. This will be the slate of officers to be voted on at the October meeting unless other nominations are received.
No Action Items.
- Environmental Health Committee
No Action Items
No Action Items
No Action Items.
- Alliance for Public Health Agencies (NCAPHA)
No Action Items.
- Hospital Association Network
No Action Items.
- County Commissioners Association Network
No Action Items.
- Managed Care & Reimbursement
No Action Items
- WomenÕs & ChildrenÕs Health
No Action Items.
COMMITTEE INFORMATION/REPORTS
Tim Green - Update on rates for Dental Services will be provided at the Local Providers Work Group meeting to be held on September 1, 1999 from 11:00 am until 2:00 pm in Raleigh.
LIAISONS & OTHER REPORTS
- Melva Okun with the UNC School of Public Health offered her thanks to the NCALHD for providing funding a year ago to summarize hog policies in North Carolina. She has completed the summary. She provided an update on how this information is used. She has had calls from both County Commissioners and Boards of Health to do presentations. The information can be accessed by going to website http://ww.sph.unc.edu/erp/. For top environmental and health issues one can access http://checc.sph.unc.edu.
- Joy Reed, Office of Public Health Nursing Š Bill passed in General Assembly this year that required that any individual who is licensed, certified or registered to engage in practice of medicine, nursing, dentistry, pharmacy or any related occupation involving direct provision of health care must wear a badge that identifies who they are and the credentials that they hold. It takes effect October 1, 1999.
- Medicaid Audits Š George Bond, Barry Blick and Tim Green will provide a draft letter for President Dollars signature to be sent to Secretary Bruton regarding Health Department Medicaid audits versus private audits.
- Lee K. Allen reported for ANCBH - Need four members for ANCBH Board of DirectorsÕ. He praised Health Director of the year Bruce Parsons and encouraged all Local Health DirectorÕs to be sure to join ANCBH to achieve 100% membership. ANCBH offers three awards each year and our annual meeting will be in January.
- Outstanding Health Award
- Carl Durham Award
- Robert Ed Strother Partnership Award
Meeting adjourned at 3:00 pm.
Respectfully Submitted by,
- Wayne Raynor
Secretary/Treasurer