surry county health and nutrition center 118 hamby … minutes 2017.pdf · surry county health and...

SURRY COUNTY HEALTH AND NUTRITION CENTER

118 HAMBY STREET ● DOBSON, NC 27017

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SURRY COUNTY BOARD OF HEALTH

MEETING NOTES

DATE: JANUARY 04, 2017

TIME: 12:00PM

LOCATION: SAGEBRUSH MEETING ROOM, MOUNT AIRY

MEETING OBJECTIVES

Program Highlights Communicable Disease and Clinical Services Snap-shot

Meeting Agenda and Minutes

Board of Health Goals/Strategic Planning

Fee Schedule and Debt Set-off/Write-Off

BOARD OF HEALTH MEMBERS PRESENT

Mr. Scott Baird

Mr. Dennis Barnette, Chair

Ms. Debbie Cave, Vice Chair

Mr. R.F. “Buck” Golding, Commissioner

Dr. Mark Hauser

Mr. Eddie Jordan

Dr. Randall Keith

Ms. Brenda Miller

Ms. Emma Jean Tucker

Dr. Michael Tumbarello

Mr. Mitch Williams

SURRY COUNTY HEALTH & NUTRITION CENTER PRESENT

Ms. Samantha Ange, Health Director

Ms. Yvonne Lambert, Admin Assistant I

Ms. Brandi Poplin, Director of Nursing

Ms. Alex Pruitt, Asst. Director of Nursing

Ms. Maggie Simmons, Assistant Health Director

WELCOME AND CALL TO ORDER– MR. DENNIS BARNETTE, BOH CHAIR

Mr. Dennis Barnette, BOH Chair, called the meeting to order at 12:13pm and welcomed members

in attendance.

Goodbye and thank you to Ms. Brenda Miller for nine

years of outstanding performance and lasting contributions

to the Surry Count Board of Health

Mr. Eddie Jordan has transitioned to position of Public

member to the Board of Health as we continue to look for

someone to fill the Optometrist position.

Introduction of Ms. Alex Pruitt, Assistant Director of

Nursing by Ms. Brandi Poplin, Director of Nursing.

PROGRAM HIGHLIGHTS: COMMUNICABLE DISEASE AND CLINICAL SERVICES – MS. BRANDI POPLIN, DIRECTOR OF NURSING

Accreditation Activity 2.4. Ms. Brandi Poplin reports the Health and Nutrition Center Communicable

Disease program operates under CDC guidelines and utilizes State Consultants. Agreement Addendums

for TB control, HIV/STD, and general communicable disease control follow General Statute 130A,

Article 6. Revenue for the CD Program for FY Budget 2016-2017 totals $288,474.00 coming from

county, state, Medicaid, patient fees, and other sources. There are over 80 reportable diseases for the state

of North Carolina and more information can be found at

http://epi.publichealth.nc.gov/cd/lhds/manuals/cd/reportable_diseases.html.

EPI Team is multi-disciplinary and maps trends for outbreaks using a 10 step investigative

process. Current communicable disease in Surry County:

http://epi.publichealth.nc.gov/cd/lhds/manuals/cd/reportable_diseases.html

http://epi.publichealth.nc.gov/cd/lhds/manuals/cd/reportable_diseases.html



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o Chlamydial Infection-150 (down from 172 in 2016)

o Gonorrhea-31 (doubled from 2016)

Continue to see rise in STI

Continue to provide preventive education

Board discussion of age groups presenting.

o Hepatitis C

IV drug use a major concern

242 tested free through NCSLPH

Needle exchange research and work to establish partnerships

Support for research project through WFBH on PrEP (Pre-Exposure Prophylaxis) as

part of a prevention plan for prevention of HepC and HIV.

Board discussion of patient criteria and use of PrEP.

o Zika

Tested 2 individuals; both negative

Provided educational materials to local OB/GYN offices

Mosquitos that carry Zika are not common in NC

o Foodborne Illnesses

Most commonly seen are salmonellosis, E. coli and campylobacter

If clusters of illness arise, CD will work with Environmental Health to investigate

potential source

Typically see a rise in summer months along with tick-borne illnesses

Locally acquired Lyme Disease

Not typically carried in Surry County

Immunization Program Budget

o Revenue for the Immunizations Program for FY Budget 2016-2017 totals $333,260.00

coming from County, State, Medicaid, Medicare, Cost Settlement, Patient Fees, and Private

Insurance.

o Revenue for School Nurse Funding Initiative (SNFI) are used to employ five nationally

certified school nurses in the three school districts. They work closely with school nurses and

administrators to ensure immunization compliance.

o 2016 Immunizations Annual Assessment for Children up-to-date at 24 months

Surry County LHD Rate-90% (Goal for 2016: 86%)

State LHD Average-86%

Surry County Rate-82% (Goal for 2016: 84%)

Statewide County Average-68% (for 2015)

o Influenza

SCHNC, Assisted Living Facilities and local businesses/worksites

Approximately 1442 flu vaccines given so far this flu season

120 free provided by Surry County Health Foundation

4 reported flu death statewide as of 12/17/2016

Board discussion on any TB this year, thankfully no.

OLD BUSINESS – MR. DENNIS BARNETTE

October 10 & 26, 2016 Minutes

o Reviewed by the Board. No changes noted.

o Motion made by Ms. Emma Jean Tucker to approve the minutes as written. Ms. Brenda

Miller seconded the motion. Motion approved.

2016 Board Goals Review – Ms. Samantha Ange, Health Director o Board reviewed their support of the Health & Nutrition Center 2016 Strategic Plan, as a

whole and determined that 2016 goals have been met.



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2017 Strategic Plan and Board Goals Review – Ms. Samantha Ange Accreditation Activities 14.2, 37.2, & 37.6.

Reviewed Health and Nutrition Center 2017 Strategic Plan and Agency Goals with discussion following.

o Board agreed to support the Health & Nutrition Center 2016 Strategic Plan overall, as a

whole, including the goals of:

Improve Agency efficiency

Increase clinical efficiency

o Create system for centralized scheduling and check-in for Main

Health clinical services

o Creating position and hiring for a referral coordinator/Affordable

Care Act (ACA) Navigator

Improve internal processes

o Streamline purchasing processes

o Determine/create system to manage record retention schedules

Provide outreach to increase efficiency

o Obtain SHIIP volunteers to assist with Medicare enrollment

Improve overall Public Health knowledge base

Provide continuing public health education for community members and

stakeholders

o Public Health update meetings for providers in Surry County

o Animal Control Tethering Ban

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Provide continuing Public Health education for staff

o Quarterly staff development meetings

Increase Public Awareness

Educate Surry County citizens on Public Health Laws

o Blood Borne Pathogen trainings for Tattoo artists

o Surry County Public Health YouTube Channel

Compliment to Mr. Johnny Easter, Director of

Environmental Health for idea of using Social Medial for

public education regarding Public Health laws.

Increase visibility of Health Department and services

o County wide nutrition and health education outreach

o School Health Education in all school systems

o Reevaluate all nutrition and health education materials

Implementation of new initiatives

Offer Telemedicine for HepC patients

Syringe exchange program

Mobile school based dental program

Board discussion of supporting and maintaining Health Department goals as the main Board of

Health goal for 2017. Accreditation Activity 37.6.

Motion made by Ms. Debbie Cave to accept the Health & Nutrition Center 2017 Strategic Plan as

written. Mr. Eddie Jordan seconded the motion. Motion approved.

NEW BUSINESS – MS. SAMANTHA ANGE

Fee Schedule Accreditation Activities 33.5, 37.2, 37.6, & 39.3.

o Overview of Fee Schedule was presented and circulated among Board Members for review with

discussion regarding little difference from last year’s Fee Schedule.

Debt Set-off Accreditation Activity 33.7

o Debt Set-off submitted for $32,321.41 with $7,399.17 having been collected for 2016.

Debt Write-off

o Write-off amount for the past three years 2016 - $20,278.01

Motion made by Ms. Brenda Miller to accept the Fee Schedule, Debt Set-of, and Debt Write-off as

submitted. Mr. Eddie Jordan seconded the motion. Motion approved.



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HEALTH DIRECTOR REPORTS – MS. SAMANTHA ANGE

Current Budget Accreditation Activity 33.6

o Expenditures targeted at 42% and resulted at a lower 37.1%.

Members voiced pleasure with fiscal totals.

Audits and Surveys

o WIC, STD, Child Health, Primary Care Clinic, Nutrition, Diabetes, Immunizations, Family

Planning, Environmental Health, Dental, Behavioral Health, and BCCCP all had good results

with small issues that were corrected immediately – nothing alarming.

2017 Meeting Schedule/Programs

Discussion regarding proposed meeting dates, times, and location. Agreed to keep with the meetings

on the first Wednesday of every other month with locations alternating between Mount Airy and

Dobson in a restaurant meeting room. Agree to change meeting time from 12:00pm to 1:00pm

beginning with next meeting of March 01, 2017.

Media Distributed in BOH Packet

o Various articles presented to the Board by e-mail with comments of satisfactory delivery.

PUBLIC COMMENT

No Public Comment – Mrs. Anderson was unable to attend meeting.

ADJOURNMENT – MR. DENNIS BARNETTE

Motion for made by Ms. Debbie Cave to adjourn. Mr. Eddie Jordan seconded the motion. Meeting

adjourned.

RESPECTFULLY SUBMITTED BY MS. SAMANTHA ANGE

NEXT MEETING DATE

Date: March 1, 2017

Time: 1:00pm

Location: Putters meeting room, Dobson

MEETING NOTES:

SURRY COUNTY HEALTH AND NUTRITION CENTER 118 HAMBY STREET ● DOBSON, NC 27017

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SURRY COUNTY BOARD OF HEALTH MEETING NOTES

DATE: MARCH 01, 2017 TIME: 1:00PM LOCATION: PUTTERS MEETING ROOM, DOBSON MEETING OBJECTIVES • Program Highlights SOTCH, CFPT, CHR, CHA • Review of meeting agenda • Review and approval of meeting minutes from January 04, 2017 • Board of Health Operating Procedures BOH MEMBERS PRESENT Mr. Scott Baird Mr. Dennis Barnette, Chair Ms. Debbie Cave, Vice Chair Mr. R.F. “Buck” Golding, Commissioner Dr. Mark Hauser

Mr. Eddie Jordan Dr. Randall Keith Ms. Emma Jean Tucker Dr. Michael Tumbarello Mr. Mitch Williams

SURRY COUNTY HEALTH & NUTRITION CENTER PRESENT Ms. Samantha Ange, Health Director Mr. Johnny Easter, Environmental Health Director Ms. Yvonne Lambert, Admin Assistant I

Mr. Ivan Pechtel, Finance Director Ms. Maggie Simmons, Assistant Health Director

WELCOME AND CALL TO ORDER– MR. DENNIS BARNETTE, BOH CHAIR Mr. Dennis Barnette, BOH Chair, welcomed everyone and called the meeting to order at 1:05pm. PROGRAM HIGHLIGHTS: 2016 STATE OF THE COUNTY HEALTH REPORT, COMMUNITY HEALTH RANKINGS, COMMUNITY HEALTH ASSESSMENT, AND CHILD FATALITY PREVENTION TEAM Ms. Maggie Simmons, Administrative Director began with a brief description of the 2016 State of the County Health Report (SOTCH), a document which outlines how Surry County Health and Nutrition Center is addressing the top 3 priorities that were selected from the 2014 Community Health Assessment. The SOTCH report includes basic demographic data, new and emerging issues affecting health, morbidity and mortality data, priority interventions, and new initiatives. Surry County’s priority initiatives are:

• Obesity o International Walk to School Day o Tai Chi for overall health and Arthritis

• Substance Abuse Prevention o Worksite Tobacco Cessation o Mission Possible o Youth Risk Behavior Survey (YRBS) o Candy versus Medication Boards

• Access to Affordable Healthcare o Tobacco Cessation


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o Cancer Screenings The top 5 leading causes of death in Surry County to be Cancer (21.3%), Heart Disease (18.7%), Chronic Respiratory Disease (7.7%), Cerebrovascular Diseases (4.1%), and Alzheimer’s disease (3.8%). BOH question regarding if Cancer statistics were broken down by municipality within the county and why not. Surry County Health Rankings: Surry County Health Rankings showed improvement in 2016. Surry County moved up in rankings from 53rd to 46th in Health Outcomes and from 64th to 38th in Health Factors. Health Outcomes:

• Diabetes—11% • Infant Mortality—9 • Child Mortality—50.3

Health Behaviors:

• Food Insecurity—16% • Motor Vehicle Crash Deaths—17 • Drug Poisoning Deaths—19

Health Care:

• Uninsured Adults—20% • Uninsured Children—7% • Could not see a doctor due to cost—18%

Social/Economic Factors:

• Median Income—$37,900 • Children Eligible for Free Lunch—50%

CFPT The final topic was the Child Fatality Prevention Team (CFPT). Ms. Simmons did a brief breakdown of the ten deaths reviewed for 2016. They are as follows:

• Congenital Conditions/Prematurity—4 deaths • Medical Illness—4 deaths

o Pneumonia/respiratory failure – 1 o Brain damage/renal failure/respiratory arrest – 1 o Primary atelectasis of newborn – 1 o Protein-energy malnutrition/acute intestinal vascular – 1

• Motor Vehicle Accident—1 death • Smoke/Fume Inhalation—1 death

BOH discussion about the situations that preceded causation for the deaths. More discussion regarding who attends the CFPT meeting and how they are determined.

OLD BUSINESS

• January 04, 2017 Minutes – Mr. Dennis Barnette


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o Reviewed by the Board. No changes noted. Motion made by Mr. Mark Hauser to approve the minutes as written. Ms. Emma Jean Tucker seconded the motion. Motion approved.

NEW BUSINESS

• New Environmental Health Fees—Johnny Easter, Environmental Health Director

o Environmental Health requests to implement two new fees. Well Sample Kit for $125, which would provide citizens a $90 savings. Engineered Option Fee (EOP), 30% of the permit fee. This fee would be

implemented as a result of local level changes allowed by NC G.S. 130A-336.1.

Motion made by Mr. Eddie Jordan to approve and implement the Well Sample Kit fee and Engineered Option Permit (EOP). Dr. Mark Hauser seconded the motion. Motion approved. • BOH Operating Procedure

o Operating Procedures were reviewed by Members with no changes noted.

Motion made by Ms. Emma Jean Tucker to approve and adopt the Operating Procedures as written for 2017. Mr. Eddie Jordon seconded the motion. Motion approved. • Community Outreach Survey--2016

o Limited return of feedback from our 2016 survey campaign with only 23 completed surveys. 57% report having not received services from our Health & Nutrition Center. 75% report they are somewhat or very likely to use our services in the next year. 74% report the hours of service for our Health & Nutrition Center as convenient. 75% report interest in most of Health & Nutrition Center services, especially Adult

Health, Dental, and Senior Services. 0% report any ideas or suggestions 57% report they would not come to our Animal Control facility when seeking a pet. 78% report not using Health & Nutrition Center website to review EH restaurant

inspections.

Board discussion regarding challenges with getting people to participate in surveys. • Annual Report - 2016

o Board received and reviewed copies of the 2016 Annual Report. Topics reviewed: 10 Essential Public Health Services Goals and Objectives Trend of services in relation to budget Services by the numbers

Board discussion on why cats are euthanized in much higher numbers than dogs.

• 2017-2018 Budget Approval

o SCHNC budget was presented by Ms. Samantha Ange: At approximately eight million dollars excluding personnel expansion Requested a 2.7% increase but not from County allocations Approximately 78% of the budget is employee salary

• Increase in for Animal Control Officers as incentive to deflect employee poaching offers from competing counties.

Lost funding revenue of approximately +/- $90,000.00 from several programs


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Board discussion regarding HealthNet, School Nurse funding, School Health Education, Adult Primary Care Clinic private insurance payments, Environmental Health reduction, Immunizations program reduction, and no complaints noted on Animal Control Officer side-arms. Motion made by Mr. Eddie Jordan to approve the budget proposal as written. Ms. Debbie Cave seconded the motion. Motion approved. HEALTH DIRECTOR REPORTS – MS. SAMANTHA ANGE • Current Budget

o The projected total spending amount year to date was projected for 58%, and currently SCHNC is currently under budget at 53%.

• Media Distributed in BOH Packet o Various articles presented to the Board by e-mail.

PUBLIC COMMENT No public comment.

ADJOURNMENT – MR. DENNIS BARNETTE Motion for made by Commissioner R.F. Buck Golding to adjourn. Mr. Eddie Jordan seconded the motion. Meeting adjourned.

RESPECTFULLY SUBMITTED BY MS. SAMANTHA ANGE NEXT MEETING DATE Environmental Health Update Date: May 3, 2017 Time: 1:00PM Location: Sagebrush Meeting Room, Mount Airy MEETING NOTES:


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DATE: MAY 03, 2017 TIME: 1:00PM LOCATION: SAGEBRUSH MEETING ROOM, MOUNT AIRY MEETING OBJECTIVES • Environmental Health/Legislative Update • Staff Training FY 2017-2018/QI & QA • Review of Meeting Agenda • Review and Approval of March Meeting Minutes • Grants • Director Reports BOH MEMBERS PRESENT Mr. Scott Baird Mr. Dennis Barnette, Chair Ms. Debbie Cave, Vice Chair Mr. R.F. “Buck” Golding, Commissioner Dr. Mark Hauser

Mr. Eddie Jordan Dr. Randall Keith Ms. Emma Jean Tucker Dr. Michael Tumbarello Mr. Mitch Williams

SURRY COUNTY HEALTH & NUTRITION CENTER PRESENT Ms. Samantha Ange, Health Director Mr. Johnny Easter, Environmental Health Director

Ms. Yvonne Lambert, Admin Assistant I Ms. Maggie Simmons, Assistant Health Director

WELCOME AND CALL TO ORDER– MS. DEBBIE CAVE, BOH CHAIR Ms. Debbie Cave, BOH Chair, called the meeting to order at 1:03pm and welcomed members in attendance. PROGRAM HIGHLIGHTS: ENVIRONMENTAL HEALTH & LEGISLATIVE UPDATE – MR. JOHNNY EASTER, ENVIRONMENTAL HEALTH DIRECTOR • Mold

o Is a symptom of a problem within the structure. o Equates mold and allergies similarly to pollen and allergies (it bothers some people and not

others.) o No regulations or standards governing mold. o Complaints previously managed through the State but now will be handled on a local level

through Environmental Health. o Environmental Health Staff have received extensive training and certification regarding mold.

Their role will primarily be to abate the situation through education and guidance. o Any more serious problems will be referred up to the State.

• Legal Updates o Pending Bills in the General Assembly:

Senate Bill 11-Regulates Pesticide Applications in Restaurants • Guidelines requiring that proper steps are taken to cover and protect

when pesticides are being applied in restaurants. Senate Bill 24-Allows Restaurants to use Outdoor Grills


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• Allows for restaurant outdoor grilling if grill is located a covered area and food is prepped indoors.

House Bill 250-Body Art Regulation Changes • Will now require Environmental Health inspections of establishments

who provide piercings (other than earlobes), scaring, branding, and subdermal implants.

House Bill 754-Optional Meals for Bed & Breakfast Guests • Will allow Bed & Breakfast establishments to offer other meals to their

guests instead of restrictions to breakfast only. o Passed Bills(s) in the General Assembly:

Senate Bill 131-Regulatory Reform Act of 2016-2017 • Clarifies private drinking water wells permitting and inspection.

Environmental Health will continue to inspect each well for water quality but is not required to inspect the pump and lines leading to the well.

Board discussion regarding how this update was very informative and helpful, PH Standpoint for water-well inspections, what constitutes “body art,” mold regulations, and restaurant/B&B inspections. QA/QI ASSURANCE UPDATE – MS. EMILY MAYES, QUALITY ASSURANCE COORDINATOR • NetLearning

o Covers trainings for compliance with accreditation along with new hire orientation, ICS classes, CPR, and other individual trainings.

o Can be done at the convenience of each staff member per their work schedules. o Learning in format of PowerPoint with testing measures. o System can be modified to meet Health Center’s needs.

• FY2017-2018 Staff Training Budgeting o Line item budget code 54010 covers staff training, conferences, professional development,

licensures, certification, etc. o Line item budget code 55520 covers NetLearning, professional associations, clinic &

program accreditations. • Audits and Surveys

o Audits have been expanded to other areas and clinics such as Clerical/Billing, Coding, Environmental Health, Behavioral Health, Orthopedics, WIC, etc.

o Surveys are used to make changes in processes for streamlining and/or updating, such as the Communicator App that notifies patients of appointments by text and voicemail.

Board discussion about cost effectiveness of NetLearning, staff training, and staff development balancing with program needs. Ms. Ange reports that Ms. Mayes does a great job in managing all the departmental and individual staff requirements. OLD BUSINESS – MS. DEBBIE CAVE • Meeting Times

o Meeting times questioned if 1:00pm was still good for the Board with no change request noted.

• March 01, 2017 Minutes o Reviewed by the Board. No changes noted.

Motion made by Commissioner Golding to approve the minutes as written. Ms. Emma Jean Tucker seconded the motion. Motion approved.

NEW BUSINESS – MS. SAMANTHA ANGE • Grants

o Behavioral Health three-year grant received through Partners as funding to Carolina Child & Family Services, Inc. for their QP (Qualified Professional) and LCSW (Licensed Clinical Social Worker.)


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o Ms. Ange referred Board back to April 12, 2010 minutes where it was approved to submit for grants when no County monies were required for receipt as in with the Surry County Health Foundation. Mini-grants award winners for FY 2017-2018 were: Family Planning for LARCs (Long Acting Birth Control) $3,200.00 Pediatrics for Transcutaneous Bilirubin Meter $3,000.00 Nutrition/Diabetes for Surry Sweetest Diabetic Youth Support Group $1,200.00 Pregnancy Care Management for Sleep Sack SIDS Prevention $2,600.00

Board discussion about reception of Behavioral Health three-year grant. Discussion about Health Foundation Min-grants proposals. “What is a Transcutaneous Bilirubin Meter and a Sleep Sack? Happy Surry Sweetest received another grant, that is such a good program! Health & Nutrition Center community collaboration with the Cooperative Extension Office on Diabetes education and cooking. Do you have a waiting list for LARCs?”

HEALTH DIRECTOR REPORTS – MS. SAMANTHA ANGE • Current Budget

o The projected spending amounts year to date was for 75%, and currently SCHNC is operating under budget at 68.3%.

Board complimented finance director and team for good job with budget. • Audits and Survey Results

o Audit and Survey results contained positive feedback and were passed around to board members for review with no comments made.

• Media Distributed in BOH Packet o Various articles presented to the Board via e-mail with no comments or complaints.

PUBLIC COMMENT

No public comments made.

ADJOURNMENT – MR. DENNIS BARNETTE Motion for made by Commissioner Golding to adjourn. Mr. Scott Baird seconded the motion. Meeting adjourned.

RESPECTFULLY SUBMITTED BY MS. SAMANTHA ANGE NEXT MEETING DATE Nutrition and Health Education Update Date: July 05, 2017 Time: 1:00pm Location: Putter’s Meeting Room, Dobson MEETING NOTES:



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SURRY COUNTY BOARD OF HEALTH

MEETING NOTES

DATE: JULY 05, 2017

TIME: 1:00PM

LOCATION: PUTTERS MEETING ROOM, DOBSON

MEETING OBJECTIVES

Program Highlights Nutrition and Health Education

Review of meeting agenda

Review and approval of meeting minutes from May 03, 2017

Board of Health Operating Procedures

Code of Ethics

Conflict of Interest

BOH MEMBERS PRESENT

Mr. Scott Baird

Mr. Dennis Barnette, Chair

Ms. Debbie Cave, Vice-Chair

Mr. R.F. “Buck” Golding, Commissioner

Dr. Mark Hauser

Mr. Eddie Jordan

Dr. Randall Keith

Ms. Emma Jean Tucker

Dr. Michael Tumbarello

Mr. Mitch Williams

SURRY COUNTY HEALTH & NUTRITION CENTER PRESENT

Ms. Samantha Ange, Health Director

Ms. Yvonne Lambert, Admin Assistant I

Ms. Maggie Simmons, Assistant Health Director

Ms. Sarah Welch, Nutrition and Health Education

Director

WELCOME AND CALL TO ORDER– MR. DENNIS BARNETTE, BOH CHAIR

Mr. Dennis Barnette, BOH Chair, welcomed everyone and called the meeting to order at 1:04pm. Mr.

Barnette made note that this is his last meeting for serving as Chair and the last meeting where he and Mr.

Mitch Williams will serve as members on the Board of Health as their terms will end August 2017

completing nine years of service each.

PROGRAM HIGHLIGHTS: NUTRITION AND HEALTH EDUCATION – MS. SARAH WELCH, NUTRITION & HEALTH ED. DIRECTOR

Ms. Sarah Welch informed members on the programs and resources we offer within the community to

promote, maintain, and improve healthy lifestyles of all Surry County residents. Handout is attached.

2016 Annual Nutrition Services Report

o One-on-one Consults – 4,348

o Breastfeeding Contacts – 2,494

o MNT Consults with Registered Dietitian – 269

o DSME Contacts – 161

o Diabetes & You Participants – 77

o Community Presentation Contacts – 1,246

2016 Annual Health and Promotion Report

o Numbers Reached – 11,728

o Community Presentation - 163



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BOH discussion about differences in partnerships between the hospitals (Northern Hospital of Surry and

Hugh Chatham Memorial.) Hugh Chatham conducts dialog and referrals with our Health Center while

Northern is mainly outreach. Discussion regarding school health and federal monies. Partnerships

address Senior Activities, Nutrition, Diabetes, Obesity, Drugs, Bullying, and all stages of the human life

span. Ms. Cave reported Project Lazarus had notable impact on granddaughter who participated in one

of the school outreaches.

OLD BUSINESS – MR. DENNIS BARNETTE

o May 03, 2017 Minutes – Reviewed by the Board. No changes noted.

Motion made by Mr. Mark Hauser to approve the minutes as written. Commissioner Buck Golding

seconded the motion. Motion approved.

NEW BUSINESS – SAMANTHA ANGE, HEALTH DIRECTOR

2017 – 2018 Budget Approval

o Surry County Board of Commissioners approved the budget submitted minus the requested

personnel expansion requests. Ms. Ange reports that she will readdress the personnel

expansion at a later date.

Discussion of satisfaction with FY 2017-2018 budget results.

Health Foundation Appointments o Mr. Dennis Barnette

o Ms. Libbie Inman

Motion made by Mr. Eddie Jordan to appoint Mr. Dennis Barnette effective September 1st and Ms. Libbie

Inman effective August 1st to the Surry County Health Foundation for a first term of three years. Motion

seconded by Ms. Debbie Cave. Motion passed.

BOH Operating Procedure o Operating Procedures were reviewed and discussed by Board Members with no changes

noted.

Conflict of Interest o Conflict of Interest Policy and Procedures reviewed and discussed by Board Members with

no changes noted.

Code of Ethics o Code of Ethics and Professional Conduct Form reviewed and discussed, then signed by Board

Members.

Motion made by Ms. Emma Jean Tucker to approve and adopt the Operating Procedures, Conflict of

Interest Policies and Procedures, and Code of Ethics & Professional Conduct Form as written for 2017.

Mr. Eddie Jordon seconded the motion. Motion approved.

Member Retirements o Mr. Dennis Barnette and Mr. Mitch Williams

Ms. Ange thanked Mr. Barnette and Mr. Williams for their nine years of steadfast commitment to service

with the Surry County Board of Health and presented framed certificates of appreciation upon their

retirement. Each member commented on the pleasure of service and would welcome the opportunity to

serve again.



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2017-2018 Officer Transitions o Mr. Barnette spoke to Board Members about their responsibilities to service with emphasis

on community and financial stewardship.

o Nominations made for Ms. Cave as Chair and Mr. Jordan as Vicechair. Commissioner

Golding moved to close the nominations.

Motion made by Ms. Emma Jean Tucker to accept nomination of Ms. Debbie Cave as Char. Mr. Eddie

Jordan seconded the motion. Motion passed. Motion made by Dr. Mark Hauser to accept nomination of

Mr. Eddie Jordan as Vice-Chair. Commissioner Golding seconded the motion. Motion approved. Ms.

Cave and Mr. Jordan spoke of willingness and readiness to service in their new positions and thanked

Board for their vote of confidence.

HEALTH DIRECTOR REPORTS – MS. SAMANTHA ANGE

Current Budget

o The total spending amount year to date was projected for 92%, and SCHNC is currently

under budget at 83.8%.

Audits and Survey Results o Audits

Diabetes/Medical Nutrition Therapy

Child Health Sick Visits/Well Visits

Immunizations Main/Pediatrics

o Time Cycles

Pediatric Well Visits/Other Visits

o Satisfaction Surveys

Primary Care Clinic (PCC)

Care Coordination for Children (CC4C)

Board member reviewed audits and voiced pleasure with those items found to be 100% compliant and

satisfaction with corrective action taken in areas where minor errors were noted. Pleasure also voiced

with 100% recommendation of our Clinics/Programs in the satisfaction surveys.

Health Director Update o Grants

Applied for a $6,800.00 Blue Cross Blue Shield Foundation Grant towards a

Bilirubin Meter. This meter will save parents making a separate trip with billing to

the local hospitals and the heal sticks on the babies.

Applied for a $8,000.00 NC Department of Health & Human Services Anne Wolf

Mini-grant to purchase a two-year supply of Sleep Saks as part of the Nutrition

Centers SIDS Reduction Campaign.

Board of Health has requested the Health Director obtain any and all grants that fit

within the mission and provide updates on application submissions at each scheduled

meeting.

Motion made by Ms. Cave to continue, until otherwise voted on, procedure of seeking out secondary

funding and grant sources for application, follow-up, and afterward reporting to the Board of Health on

outcomes. Commissioner Golding seconded the motion. Motion approved.

Annual Health Director Legal Conference – Ms. Maggie Simmons, Assistant Health Director Ms. Simmons passed around the notebook of materials and highlighted legalities presented during the

conference for members to review during her report.

o Opioids and NC Law

Four people die each day, surpassing motor vehicle deaths, due to opioid overdose

One out of 100 babies born in NC are addicted to opioids

NCGS 90-96.2 Good Samaritan Law



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2016 Statewide standing order for Naloxone

Stop Act – Strengthen Opioid Misuse Prevention Act

Prescription Drug Abuse Advisory Committee (PDAAC)

o Public Health Embargo Authority

What is Embargo – an order from a public health official requiring a person to detain

or hold food that may be adulterated or misbranded

Who may exercise embargo authority – Health Director must consult with Regional

EHS and NCDA must be notified of any embargo action.

Alternatives to embargo – Voluntary disposal, permitting, abatement, injunction, and

misdemeanor.

o Human Trafficking

Increase awareness

Definition – persons who recruit, entice, harbor, transport, provide, or obtains by any

means another person for the intent of being held involuntary or sexual servitude.

Severe forms – minors

Safe harbor Laws – recognizes minors as victims.

Report immediately

o Religious Beliefs

Title VII

Accommodations if reasonable and not impeding on coworkers or undue hardship for

the employer

Requests

Granting/Declining

Discussion by Board on sad opioid statistics, embargo definition, and religious accommodations. Also,

more discussion about victimization of human trafficking in modern times.

Media Distributed in BOH Packet o Various articles presented to the Board by e-mail with no comments or suggestions.

PUBLIC COMMENT – MR. JACK MOORE, SURRY COUNTY HEALTH FOUNDATION

2nd Annual Mayberry Pickleball Tournament Fundraising Event

o Mr. Jack Moore reported their experience with the June 16 -18 Pickleball Fundraiser was

even better than last years’. They had 92 athletes from NC, SC, TN, VA, and GA to

participate with 18 volunteers. The tournament committee would have even more potential

players if other space options were available.

o Mr. Moore reviewed details of the event including accommodations and feedback.

o Raised $5,615.95 ($2,299.93 more than last year) through sponsorships, donations, and

athlete registrations.

o Samantha Ange expressed appreciation to the Health Foundation for working so diligently

and for their passion to service in providing the Health & Nutrition Center with financial

support through their mini-grant program.

Discussion about how smooth the fundraiser went and what kind of impact the event has on the local

economy and Health & Nutrition Center programs. Members also complimented the Health Foundation

on a job well done.

ADJOURNMENT – MR. DENNIS BARNETTE

Motion for made by Commissioner R.F. Buck Golding to adjourn. Ms. Debbie Cave seconded the motion.

Meeting adjourned.

RESPECTFULLY SUBMITTED BY MS. SAMANTHA ANGE



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NEXT MEETING DATE

Animal Control Update

Date: September 06, 2017

Time: 1:00PM

Location: Putters Restaurant, Mount Airy

MEETING NOTES:


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DATE: SEPTEMBER 06, 2017 TIME: 1:00PM LOCATION: PUTTERS MEETING ROOM, DOBSON MEETING OBJECTIVES • Program Highlights Nutrition and Health Education • Review of meeting agenda • Oath of Membership – Mr. J. Wade White, Jr.

BOH MEMBERS PRESENT Mr. Scott Baird Ms. Debbie Cave, Chair Mr. R.F. “Buck” Golding, Commissioner Dr. Mark Hauser Mr. Eddie Jordan, Vice-Chair

Dr. Randall Keith Ms. Emma Jean Tucker Dr. Michael Tumbarello Mr. J. Wade White, Jr.

SURRY COUNTY HEALTH & NUTRITION CENTER PRESENT Ms. Samantha Ange, Health Director Mr. Abraham Doby, Animal Control Director

Ms. Yvonne Lambert, Admin Assistant I Ms. Maggie Simmons, Assistant Health Director

WELCOME AND CALL TO MEETING– MS. DEBBIE CAVE, BOH CHAIR Ms. Debbie Cave, BOH Chair, welcomed everyone to meeting at 1:05pm and reported that quorum was not met. Mr. J. Wade White, Jr. was welcomed as our new professional engineer representative and made the oath of membership. MEMBER TRANSITIONS– MS. DEBBIE CAVE • Ms. Debbie Cave – First meeting as Chair • Mr. Eddie Jordan – First meeting as Vice-Chair • J. Wade White, Jr., - First meeting as Engineer Member

o Oath of membership • Dr. Scott Baird – Rotating off December 31st with Dr. Drew Nowlin accepting nomination to go before the

Board of County Commissioners for approval as a Pharmacist member. • Dr. Randall Keith – Rotating off January 31st, 2018 with Dr. Vincent V. Miller accepting nomination to go

before the Board of County Commissioners for approval as a Physician member. • Ms. Emma Jean - Up for reappointment effective February 1st, 2018. • Commissioner R.F. Buck Golding is up for reappointment February 1st, 2018 • Continuing to look for an Optometrist and a Public member. Presently pursuing Dr. James E. Yarborogh, OD

as a candidate for the Optometrist Member.

Vice-Chair Eddie Jordan reports that he will contact Dr. Miller as a possible candidate for the Physician Member. PROGRAM HIGHLIGHTS: ANIMAL CONTROL PROGRAM – MR. ABRAHAM DOBY, ANIMAL CONTROL DIRECTOR. Mr. Doby reported to members regarding program statistics for Animal Control 2017 year to date. Please see attached stats report. • Points made:


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o Animal shelter has been running at a “no kill rate,” for dogs, for the past three years, meaning that the only dogs euthanized are ones who are diseased, maimed, or aggressive.

o The shelter partners with over 100 different animal rescue organizations, 40 of whom are regulars, to rehome all eligible pets for adoption.

BOH discussion about the many partnerships with animal rescue organizations and pride of maintaining the no-kill dog euthanasia rate at the animal shelter.

OLD BUSINESS – MS. DEBBIE CAVE • May 03, 2017 Minutes Minutes were not reviewed this date. Members present tabled July 5th minutes until next meeting.

NEW BUSINESS – MS. DEBBIE CAVE • Health Director Review

o Job Description – Job Description was signed, with no changes made, by Mr. Dennis Barnette (previous Chair) during 8-31-17 meeting with County Human Recourses.

o Performance Evaluation – Mr. Barnette and Ms. Cave received positive feedback from Board Members regarding Health Director performance, stating “she is doing an excellent job.” Mr. Barnette, as Chair, recommended continued Board support of Ms. Ange as Health Director.

Discussion of Health Department is in good hands with Ms. Ange as director.

HEALTH DIRECTOR REPORTS – MS. SAMANTHA ANGE • Current Budget FY 2017-2018

o The total spending amount year to date was projected for 8.0%, and SCHNC is currently under budget at 6.4%.

• Health & Nutrition Center Agency Partnerships list was reviewed with Board of Health. o North West Partnership for Public Health (NWPPH) – is a regional Health Director collaborative o School Superintendents – meets quarterly for collaboration between school systems and public health o Healthy Surry – “think tank” collaborative with various community stakeholders o Child Fatality Prevention Team (CFPT) – will be combining soon with the Community Child

Protection Team (CCPT) from Department of Social Services o Juvenile Crime Prevention Council (JCPC) – efforts to help juveniles in the community. o Partners Behavioral Health – grants to support behavioral health initiatives within our agency o Program Specific Partnerships – 60 plus partnerships with various programs within our Health &

Nutrition Center. o Surry County Health Foundation – supports various Health & Nutrition Center initiatives through their

mini-grant project. • Health Director Update

o Animal Control Program Ms. Ange has been conducting intense conversation with Board of County

Commissioners regarding possible transferring of the Animal Control unit from under our Health & Nutrition Center to under the County Sheriff Department. She reports that Health’s responsibilities with Animal Control (AC) is less than 10% and is in regard to General Statutes for rabies control. The Sheriff’s Department would be a better fit for remaining Animal Control responsibilities such as ordinance enforcement and community protection from stray, feral, and wildlife animals. Some minor in-house changes will need to be made within both agencies to make for a smooth transition. Ms. Ange and Mr. Doby had only kind words to say about Sheriff Combs and his interest in bringing the AC program to his department.

o Opioids Response Director Motion passed for new Surry County Departmental Opioid Response (OR)Director

by Board of County Commissioners on September 5, 2017.


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A renewable $25,000.00 4-year match grant from Partners Behavioral Health for program.

Samantha has been appointed as a member of the advisory board along with other community stakeholders.

Job description and posting to be available soon. Board discussion commenting on the volume of partnerships with the Health & Nutrition Center. Discussion of Animal Control departmental transition with agreement voiced. Pleasure also voiced with plans of new OR department and expected qualifications and responsibilities of the OR Director. • Program Audit and Survey Results

o Audits Tuberculosis (TB) Sexually Transmitted Disease (STD) Primary Care Clinic (PCC) Medication Assistance Programs (MAP) Immunizations (Immunes) Environmental Health (EH)

o Self-Assessments Women, Infant, & Children (WIC)

o Satisfaction Surveys Women, Infant, & Children (WIC) Pediatrics (Peds) NC Breast & Cervical Cancer Control (BCCCP)/Well-Integrated Screening and

Evaluation for Women Across the Nation (WiseWoman)/Adult Health Programs Communicable Disease (CD) Sexually Transmitted Disease (STD) Dental Family Planning (FP) Medication Assistance Programs (MAP)

Board members reviewed program audits, surveys, and self-assessment reports with satisfaction voiced with report results. • Media Distributed in BOH Packet

o Various articles presented to the Board by e-mail with no comments or suggestions. PUBLIC COMMENT • No public comment at this meeting ADJOURNMENT – MS. DEBBIE CAVE Discussion meeting adjourned by Ms. Cave with no motion due to lack of quorum.

RESPECTFULLY SUBMITTED BY MS. SAMANTHA ANGE NEXT MEETING DATE New Member and Annual Training with Flu Vaccines available for dispensing. Date: October 4, 2017 Time: 1:00 PM Location: Putters Restaurant, Dobson


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DATE: NOVEMBER 13, 2017 TIME: 6:00PM LOCATION: SCH&NC CLASSROOM MEETING OBJECTIVES • Approval of Minutes • BOH Rule Rescinding • SCHNC Christmas Party • SCHNC Strategic Planning • NWPPH Renewal • BOH Annual/New Member Training

BOH MEMBERS PRESENT Dr. Scott Baird Ms. Debbie Cave, Chair Mr. R.F. “Buck” Golding, Commissioner Dr. Mark Hauser Mr. Eddie Jordan, Vice-Chair

Ms. Barbara Long Ms. Emma Jean Tucker Dr. Michael Tumbarello Mr. J. Wade White, Jr.

SURRY COUNTY HEALTH & NUTRITION CENTER PRESENT Ms. Samantha Ange, Health Director Mr. Abraham Doby, Animal Control Director Ms. Yvonne Lambert, Admin Assistant I

Ms. Allison Pratt, Personnel Officer Ms. Maggie Simmons, Assistant Health Director

WELCOME AND CALL TO MEETING– MS. DEBBIE CAVE, BOH CHAIR Ms. Debbie Cave, BOH Chair, welcomed everyone to meeting at 6:05pm. Ms. Barbara Long was introduced as our new public member and made the oath of membership. OLD BUSINESS – MS. DEBBIE CAVE • July 05, 2017 Minutes • September 16, 2017 Minutes Minutes reviewed by members with no changes noted. Motion made by Commissioner Golding to approve both minutes as written. Dr. Scott Baird Seconded the Motion. Motion approved. NEW BUSINESS – MS. DEBBIE CAVE • Board Member Transitions

o Ms. Barbara Long begins her first three-year term as Public Representative on October 02, 2017.

o Dr. Scott Baird retiring from Board of Health December 31, 2017 after nine years of service to our Surry County community.

o Dr. Drew Nowlin will begin his first three-year term of service as the Pharmacist Representative on January 01, 2018

Discussion of welcome and goodbye with changes in Board Members.


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• Animal Control – Mr. Abraham Doby, Animal Control Director o Rule Rescinding

The Local County Board of Health Rule will be rescinded due to the Rule being adopted into Stale Law.

Discussion of Rule rescinding and standards being adopted by State.

• SCHNC Strategic Planning is scheduled for December 11, 2017 at the Round Peak Vineyards from

9:00am to 4:00pm. • NW Partnership for Public Health (NWPPH) Renewal

o Ms. Samantha Ange is a member and our representative.

Discussion of Partnership benefits with Public Health agencies. Motion made by Commissioner Golding to keep Ms. Ange as representative and renew our membership with the NWPPH. Motion Seconded by Dr. Scott Baird. Motion passed.

• SCHNC Christmas Party 2017

o December 12, 2017 at the First Baptist Church in Dobson o Request for an additional 90 minutes to lunch period to allow for all employees to participate

in team-building activities and celebrate the holiday season. Discussion of importance for employee’s participation in team building activities and socialization with peers. Motion made by Dr. Scott Baird to extend SCH&NC employee lunch period December 12, 2017 from 11:30am to 2:00pm. Motion Seconded by Ms. Emma Jean Tucker. Motion Passed. • BOH Annual/New Member Training

o Training materials were emailed out to all Board Members. o All Members are responsible for reviewing and completing the training materials. o Members are to advise of completion of training via email.

HEALTH DIRECTOR REPORTS – MS. MAGGIE SIMMONS • Current Budget FY 2017-2018

o The total spending amount year to date was projected for 25.0%, and SCHNC is currently under budget at 23.1%.

• 2018 Meeting Schedule o The new 2018 BOH meeting schedule was distributed and reviewed. No questions noted.

• Health Director Update o Animal Control Program

Animal Control will be transitioning to Sheriff’s Department. Effective January 1, 2018.

Euthanizing less animals. Boosters when animals come in, titer day 0 and day 5. Booster and a 45-day home

quarantine if previously vaccinated. This saves money on quarantine time. o Opioids Response Director

Dr. Scott Baird mentioned he received a letter from County Superintendent Chris Knopf requesting to be part of the Opioid Task Force. Maggie Simmons explained the BOCC established an Opioid Director position. When the Director position is filled then the Opioid Task Force will be filled as well. She stated it is important for Dr. Baird to give his input as a local pharmacist, as he sees prescription drug abuse every day.

Board discussion commenting on the volume of partnerships with the Health & Nutrition Center. Discussion of Animal Control departmental transition with agreement voiced. Pleasure also voiced with plans of new OR department and expected qualifications and responsibilities of the OR Director.


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• Grants

o Preparedness Activity Exercises every 5 years. Contracted with Roland Hamrick as consultant $18,000 through Homeland Security Program (HSGP) received by Myron Waddell

with Surry County Emergency Services to cover exercises expenses for Health Department’s participation.

Motion by Commissioner Golding to approve Preparedness Activity and HSGP monies through Surry County Emergency Services as presented. Second by Dr. Scott Baird. Motion approved. • Media Distribution

o Previously received all as they came in. Now, only receive B Grade and below. o Links to all establishments are located on SCHNC website.

Discussion with comments of preference to new system making more sense.

PUBLIC COMMENT • No public comment at this meeting. ADJOURNMENT – MS. DEBBIE CAVE Motion to adjourn by Dr. Scott Baird. Motion Seconded by Ms. Barbara Long

RESPECTFULLY SUBMITTED BY MS. SAMANTHA ANGE NEXT MEETING DATE Program Highlights will be Communicable Disease and Clinical Services Snapshot. Date: February 12, 2018 Time: 6:00 PM Location: Surry County Health & Nutrition Center Classroom, Dobson

surry county health and nutrition center 118 hamby … minutes 2017.pdf · surry county health and...

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