Hertford County Public Health Authority

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                    Hertford County Public Health Authority
                            Board of Health Meeting
                               August 28, 2012

Members Present               Members Absent          Staff/Visitors

Charles Reynolds              Katina Eley             James Madson
Howard Hunter III                                     Ramona Bowser
Al Goddard                                            Barbara Earley
Dr. Terry Hall
Westelle Cherry
William Stephens


Call To Order- Mr. Howard Hunter, Chair, called the meeting to order at
6:30 PM. He welcomed Board members, staff, and visitors to the meeting.

Invocation-The invocation was given by Mrs. Westelle Cherry.

Swearing-In of Appointed BOH Members- Mrs. Ramona Bowser swore in
Dr. Terry Hall.
Roll Call-Mrs. Ramona Bowser, called the roll. A quorum was established.

Approve Agenda- Mrs. Westelle Cherry made a motion to approve the
agenda. The motion was seconded by Mr. William Stephens and approved
by the Board.

Conflict of Interest: The Board of Health reviewed the agenda and no
conflicts were identified.

Approve Minutes- Mr. Charles Reynolds made a motion to approve the
June 25, 2012 Board of Health Meeting minutes. The motion was seconded
by Mrs. Cherry and approved by the Board.

Board Absences- Mrs. Cherry made a motion to approve the absence of
Ms. Katina Eley. The motion was seconded by Mr. Stephens and approved
by the Board.

New Employees- Mrs. Ramona Bowser reported Ms. Patricia Goetz a RN
had been hired as of July 9, 2012 to work in Home Health. Ms. Goetz has 20
years of nursing and home health experience. We are excited that she has
joined our agency.
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Tobacco Free Parks and Rec Ordinance Review- Mr. Madson reported
that the agency has long felt Smoke Free Parks and Recs was the next step
in promoting a smoke free environment. During Mr. Hunter’s recent bid for
NCACC president, the agency suggested that smoke free parks and recs be a
platform that he could champion in bringing community health needs and
issues to the forefront.      Mr. Madson went on to add that parks and
recreation areas are places that should foster strong healthy behaviors-; in
this case the healthy living environment. It is also vital to the
development of behavior and habits in kids and the youth that use the parks
and the prevention of passive smoke inhalation. The proposed ordinance
was reviewed. Mr. Hunter stated that he felt this was an important cause for
public health and believed it to be the right thing to do for the county and
kids and would be in favor as it is in line with what the county does in
regards to smoke free grounds and facilities. Mr. Hunter went on to add that
the fines for first time offenders be $25.00 with a $250.00 maximum fine.
Mrs. Cherry recommended community service for violators. Mr. Goddard
asked if this ordinance would be enforced county wide.            Mr. Madson
responded any ordinance approved by the board of health would be
enforceable county wide. We would work with law enforcement on violations
and enforcement issues. As for next steps Mr. Hunter recommended a sit
down with the town Mayors and parks and recs to have them in the
beginning discussions before anything is brought before the commissioners.
Mr. Madson responded he would look into scheduling meetings with all
parties involved with a public hearing to be scheduled in the future.

Public Comment-none

Mrs. Cherry made a motion to proceed with the proposed Tobacco Free
Parks and Recs Ordinance. The motion was seconded by Mr. Goddard and
approved by the board.

Agency Update- Mr. James Madson updated the board on the following:
Communicable Disease: Communicable disease reports and stats for the
quarter (04/01/12-06/30/12) were reviewed and discussed. There were no
trends or atypical incidences noted. While the State has experience an
outbreak in Pertussis cases, Hertford County has not had a confirmed case.
Community Transformation Grant; A grant application was submitted in
an effort to improve access to fresh fruit and vegetables by establishing a
Farmers Market in Winton; we are awaiting funding notification. Human
Resources implemented a new automated notification system that will alert
employees when they have expiring licensing and /or certifications. We will
also be looking into revising and consolidating the way we handle our
Personnel Policies. All current policies will be consolidated in a manual that
can be given to each employee. This manual will be reviewed and updated
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annually by the management team. Home Health has seen an increase in
the number of patient referrals, not real sure as to the reason, but we are
staying busy and continue to focus on billing. Reproductive Life Plan-
Crystal Dempsey our PHE will be working to have these surveys distributed
and completed. EMS Tabletop- We participated in a tabletop exercise
involving a chemical spill and the response activities that would be required
in such an event. It was determined that Public Health would need 0to be
involved early on and that worker safety during response efforts was a
priority and concern. Accreditation is still required by law and as of 2013
has become one of the unfunded mandates. In an effort to ensure there is
technical support to local health departments for accreditation the
Association of Local Health Directors has proposed and agreed that every
local health department share in the cost of funding the accreditation
program. Hertford’s share is 2,647.00. We encourage everyone to continue
to lobby in support of re-funding the accreditation program by the State.


BOH Finance Committee Report- Mr. Reynolds stated that the finance
committee did meet. Mr. Reynolds asked Mrs. Ramona Bowser to present
the financial reports.

PHA Balance Sheet-June 2012 Prd. 13 - Mrs. Ramona Bowser reported that
cash in deposit for assets was $442,097. Accounts receivable-general was
$275,032.97, accounts receivable for Home Health was $391,981.72, and
accounts receivable doubtful for Home Health was $132,104.22. Total
assets were $1,045,281.75. Total liabilities were $97,469.81 and total fund
balance was $947,811.94.

Financial Summary Report-June 2012 Prd. 13 – Mrs. Bowser reported the
year to date revenues were 92.23% of the budget and year to date
expenses were 90.48% of the budget. Accounts Receivable with allowance
for bad debts totaled $336,831. Home Health had a profit of $18,079 for
June, but without transfers had a profit of $42,806. Year to Date Home
Health has a deficit of $195,538, but without transfers a profit of $101,336.
Home Health cash balance is $18,657 for June.

PHA Balance Sheet-July 2012 - Mrs. Ramona Bowser reported that cash in
deposit for assets was $427,317.60.        Accounts receivable-general was
$270,138.43, accounts receivable for Home Health was $391,981.72, and
accounts receivable doubtful for Home Health was $132,104.22. Total
assets were $1,013,325.48. Total liabilities were $79,728.08 and total fund
balance was $933,597.40.
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Financial Summary Report-July 2012 – Mrs. Bowser reported the year to
date revenues were 8.14% of the budget, we should be at 8.33% and year
to date expenses were 8.42% of the budget. Accounts Receivable with
allowance for bad debts totaled $306,877. Home Health had a deficit of
$5,627 for July, but without transfers had a profit of $20,796. Home Health
cash balance is $8,532 for July.

Budget Amendment #1- Mrs. Bowser reported that the Budget Amendment
#1 increases the current Agency budget by $3,116.         This increase is
additional state funds $12,004 Ryan White funds and carryover of $2,109 in
MAPP funds.

Quarterly Fiscal Monitoring Report- Mrs. Bowser presented the quarterly
fiscal monitoring report for the period ending June 30, 2012. The report
shows a year to date gain of $95,777 in cash balance. The current
unrestricted fund balance is at 7.68%, which should be at 8%.

Mr. Reynolds made a motion to approve the finance reports.     The motion
was seconded by Mr. Stephens and approved by the Board.

BOH Personnel Committee Report- Dr. Terry Hall stated that the
personnel committee did not in July.
Volunteer Policy- Mrs. Bowser presented the proposed policy.         The
Volunteer policy will allow for a mechanism in which the health authority
could use volunteers within the agency.

Mr. Goddard added this was an excellent idea and was pleased to see the
health authority providing this opportunity to the community.

Mr. Hunter made a motion to approve the Volunteer Policy. The motion was
seconded by Mrs. Cherry and approved by the Board.

BOH Policy and Program Committee Report- Mrs. Bowser presented the
Complaint Policy. The policy has been revised to add that all complaints
will be responded to in 1 business day.

The Communicable Disease Policy was tabled as it was not available for
review.

Mrs. Cherry made a motion to approve the Complaint Policy and table the
Communicable Disease Policy. The motion was seconded by Mr. Hunter and
approved by the Board.
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Old business- Election of Officers- Mr. Reynolds made a motion to leave
officers as is for FY 2013. The motion was seconded by Mr. Stephens and
approved by the Board.

New Business- The nominating Committee was activated and Dr. Jamie
Udwadia was recommended to fill the unexpired term of Dr. Almario.

Motion to Go Into Closed Session- Mrs. Cherry made a motion to go into
closed session at 7:25 PM. The motion was seconded by Mr. Reynolds and
approved by the Board.

Motion to Return to Regular Session- Mrs. Cherry made a motion to
return to regular session at 7:50 PM. The motion was seconded by Mr.
Reynolds and approved by the Board.

Action from Executive Session- none

Next meetings-
Personnel Committee, Thursday, September 13, 2:00PM, Ahoskie
Finance & Audit Committee, Monday, September 24, 5:30 PM, Winton
Policy & Programs Committee, Thursday, September 6, 2:30 PM, Ahoskie
Full Board Meeting, Monday, September 24, 6:30 PM, Winton

Adjourn- Mrs. Cherry made a motion to adjourn the meeting at 7:55PM.
The motion was seconded by Dr. Hall and approved by the Board.

				
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