CALL TO ORDER Ð President Maggie Dollar called the meeting to order at 9:05 am. (See Attachments, Attendance Roster.)

APPROVAL OF MINUTES Ð Wayne Raynor presented the minutes of the November 18, 1999 Executive Committee Meeting. Minutes were approved as submitted.

TREASURERÕS REPORT Ð Wayne Raynor presented the TreasurerÕs Report as information and requested action. As of December 13, 1999 account balances are as follows: checking $23,660.96; savings $33.57; money market $317.57; and certificate of deposit $40,000.00. Motion by Tim Green to accept as submitted. Seconded by Barry Bass. (See Attachments)

Dr. McBride provided an update from the state perspective. The legislators are considering the governorÕs plan to provide funding for eastern counties affected by the flood. The disaster is not over, it will take months if not years to fully recover. The disaster taxed the entire system, however the public health system rose to the occasion. Good communication was critical during the flood in terms of transferring correct information-communication was terrible in the early stages of recovery. The Department will continue to study the overall response and potential lessons learned. We must have a commitment to funding for core Public Health services, standards in Public Health and the importance of having Environmental Health a part of Public Health. We want to continue our emphasis on asthma. Approximately 550 schools have been sent a video/questionnaire survey in order to conduct a large scale study of asthma. Health Directors are encouraged to contact school principals to ensure that all schools participate in the study. This will be the nations first large study of asthma. The epidemiology of asthma is not well known. We continue to monitor tobacco funds that will be available and how we can best use these funds such as for school nurses. Healthy Carolinians has the potential for getting "the importance of Public Health" message into communities. We need to be sure to try to get these funds restored in the next session of the General Assembly. We definitely must continue to strengthen our relationship with the NC Association of County Commioners. We must remind them of the Public Health successes in our communities. An Ecology and Human Health Conference will be held in June 2000. We may not always agree but we must always strive to find common ground and be persistent. We must continue to think and act outside the box. WeÕre here to serve the publicÕs health. The future will be how we deal with our ethical systems of belief and find ways in our daily lives to collectively apply those systems of belief to what we do. Partnerships will continue to be critically important to our mission.

Dr. Ann Wolf Ð There is $12.4 million in cuts to be diverted for flood relief. These should not affect local health services. The Dental Loan Repayment funds are located in the Office of Rural Health. Dr. Steve Cline was not aware that these funds were frozen. Steve announced the annual State Health Directors meeting is to be held in January.

Dennis Harrington Ð Division is a little behind on consolidated contract process. Expenditure reporting has improved greatly, 70% on time-still must work on the 30%. ThereÕs a new form for use in the 2^nd quarter. We have not heard any positive news on the release of medicaid cost settlement funds. Chris Hoke is looking into the delay. Kate B. Reynolds will accept a letter of need to replace lost funds due to flooding through December 31, 1999.

President Dollar called for (1) A vote on a lease at the North Carolina Hospital Association for our meetings and office space for an Executive Director. Motion by Don Yousey. Seconded by Tim Green. Motion passed. (2) Consider communicating with Secretary Bruton regarding his recent decision to organizationally transfer the Developmental Evaluation Centers from DPH to newly created Division of Education. Motion by Bill Smith and seconded by Barry Bass that the association President send a letter to Dr. Bruton expressing NCALHD concerns about the process.

• Health Alert Network Ð additional $30 million approved in the federal budget for next year to be used to expand the Health Alert Network across the United States. We need to send thank you letters to the congressmen who helped to get it approved.

• Secretary Bruton has formed a Child Health Task Force with the primary purpose of seeking Child Health insurance coverage for all needy children.

• July 26^th through 29^th in Raleigh we will host the National Association of Local Board of Health Meeting.

• Rachel Stevens asked to come to update the NCALHD on Intensive Home Visit Project sometime in the next few months.

• Commission for Health Services meet next on February 16^th in Raleigh, then May 17^th location to be determined, August 16^th in Raleigh and November 10^th in RTP.

• Education & Awards

• Environmental Health Committee

• Hospital Association Network

• Managed Care & Reimbursement

• Policy & Planning

• State & Local Relations

• Technology

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NCALHD

December 16, 1999

• Policy and Planning

• Community Health/Dental

• County Commissioners Association Network

• Education & Awards Ð Curtis Holloman reported that committee is still receiving nominations for Ham Stevens award. Committee will meet January 12, 2000 to select recipient.

• Epidemiology Committee Ð Dr. Sherman Kahn - see December 13, 1999 minutes. (See attached)

• Managed Care & Reimbursement Ð Jim Baluss introduced Joy Reed for an update on HIPPA. Federal rules are to be published in January, 2000 which will hopefully clarify the future of billing codes.

• State & Local Relations Ð Tim Green will meet today at 12:15 to look at Health Education classifications, salaries, recruitment and retention issues.

• Technology Ð Marc Kolman - (See attached)

• WomenÕs and ChildrenÕs Health Ð Wanda Sandele - Hepatitis B state supplied vaccine can be provided free for those up to age 18 years. Immunization rates will be released shortly.

• Office of Public Health Nursing Ð Joy Reed provided update on shelter staffing during emergencies/disasters. (See attachments) Next round of CPT coding training has been scheduled throughout the Spring of 2000. Mel Crocker has set a June 30, 2000 deadline for submission of all information relative to the PHN II job description study.

• Dennis Harrington recognized Joy Reed who received an award from the GovernorÕs Office for the work during the flood.

• Barry Bass Ð received 30 applications for Executive Director position. Interviews are in process.

• NCPHA Ð Deborah Rowe Ð House passed governorÕs flood relief package on December 15, 1999. We should work hard in the coming short session of the General Assembly to get Public Health funding restored. Adam Searing (H. A. C.) has worked hard in support of Public Health issues. NCALHD is encouraged to continue membership in H. A. C.

• Medicaid Audits of Local Health Departments Ð (See Attachment)

• Cathy Thomas Ð representative of GovernorÕs Council on Physical Fitness. ThereÕs a major campaign to address the problem of physical inactivity called "Be Active North Carolina". She distributed a brochure about the effort. (See attachments).

• Maggie attended Institute of Public Health meeting last week in Chapel Hill. We are promoting a replacement for Anne DellingerÕs position.

• Placement of Environmental Health
• Healthy Carolinians
• Tobacco Settlement
• Services to Minorities
• CPT Codes Conversion
• Completed RFP Process
• Participated in Turning Point Project
• Bioterrorism Awareness

• Updated Bylaws
• Established Parliamentarian Position
• Switched to Electronic Transmission of Minutes on Web site resulting in substantial savings to the Association
• Continued work on Division Process
• Voted to hire Executive Director

Meeting adjourned at 12:15 pm.

Respectfully Submitted by,

1. Wayne Raynor

Secretary/Treasurer