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WAYNE COUNTY BOARD OF HEALTH 301 N. HERMAN STREET GOLDSBORO, NC 27530 Phone: 919/731-1000 Fax: 919/739-5023 Steven Smith, Chairperson Ira Thigpen, Co-Chairperson OFFICIAL MEETING RECORD The Wayne County Board of Health met in regular session on Wednesday, February 20, 2008, at 12:15 p.m. at Wayne County Office Building Third Floor Conference Room, Goldsboro, NC. The following members were present: Dr. Michael Gooden Mr. Steven Smith Mr. Mark Bryan Mr. Efton Sager Mr. Ira Thigpen Dr. Gib Blackman Ms. Kim Larson Dr. O.R. Stovall Mr. James Roosen, RS, MPH Secretary to the Board Barbara Fields, Rovonda Freeman, Leah Grimmer, David Hesselmeyer, Carolyn King, Karen Padgett, Sue Peacock, Earlina Robinson, Nan Sentz-Foy, Patsy Spear, Julie Sutton, Kevin Whitley, Pandora Yelverton and Bonnie Crouse of the Health Department attended. Also present was Ms. Phyllis Moore of Goldsboro News-Argus. A quorum was established with eight members present. Absent were Dr. Heather Smith, Mr. Charles Gibson, and Mr. Jeffrey Kornegay. The meeting was called to order by Mr. Steve Smith, Chairperson. Invocation – Dr. Michael Gooden Dr. Blackman moved to accept the minutes for the January 16, 2008 meeting. Dr. Larson seconded the motion. The motion was passed unanimously. Introduction of Guests: N/A. Public Comment: N/A New Employees: Earlina Robinson is the new Processing Assistant III, Communicable Disease and Sue Peacock, Registered Nurse, Family Planning. Mr. Smith thanked all employees for choosing to work at the Health Department. Recognition of Employee’s 5th Year Anniversary: Shane Smith and Worth Heath, Environmental Health Specialists, Environmental Health and Barbara Fields, Processing Assistant IV, Administration. 2005 Debt Set-Off: James Roosen: Mr. Roosen discussed the debt set-off with the Board. The amount to be sent off for debt collections for 2005 is $137,226.14. The collection agency will collect on debt owed to the Health Department through client’s tax refunds. The amount to be written off that is uncollectable for 2005 is $34,146.57. Mr. Roosen asked the Board for their approval on the two amounts. Mr. Sager made a motion to accept the amounts to be written off. Dr. Gooden seconded the motion. Mr. Smith asked if there were any discussions. Dr. Gooden asked why the clients do not have any parents or social security numbers. Mr. Roosen stated some clients are immigrants. Mr. Roosen also stated that approximately 28% of prenatal clients are prenatal clients and do not have valid social security numbers. Dr. Larson asked if Mr. Roosen meant parents with social security or clients. Dr. Gooden commented there were some with both. Mr. Smith asked how the debt set-off figure compares to the past. Mr. Roosen stated he could find out and let the Board know via email. Mr. Roosen stated the amounts to be collected are amounts still remaining after trying to collect from clients for two years. The Health Department has set up a credit/debit card pay system so clients have that option. Dr. Stovall asked if the clients with temporary IDs is it because the client has a temporary ID and did not renew. Mr. Roosen stated he did not have that answer and would find out for the Board. Dr. Stovall asked if the maternity services expenses much higher and that is the reason for the higher amount. Mr. Roosen stated prenatal services can be higher due to tests, sonograms, physician services, more visits during the pregnancy, etc. The motion was passed unanimously. Community Health Assessment: Mr. Roosen welcomed and thanked Rovonda Freeman, Minority Health Coordinator, for coordinating the Jeopardy game. Ms. Freeman presented the Jeopardy game to the Board. Mr. Roosen commented the Jeopardy game will be used as a way to begin planning and goal-setting process for the Health Department. Health Department Goals for 2008-2009: Mr. Roosen stated the Health Department is involved in the budgeting process. In approximately 4½ months the Health Department will begin the next fiscal year. Accreditation is approaching and accreditation requires the BOH become more involved with some of the operations of the Health Department to include budgeting and setting goals. The Community Health Assessment helps in many ways to set directions for the Health Department with budgeting. Mr. Roosen stated the Capitol Expenditures have to be into the Finance Office by Friday, February 22nd. A Capitol Expense is defined as anything with the cost of $5,000.00 or more. The Health Department is also in the process of preparing appraisals. This will determine how much is going to be needed for merit increases. Revenues need to be forecasted as well as expenses. Mr. Roosen commented the important issue to remember in concerns with the budget is that this is the time we have now to determine what is going to be needed for the next fiscal year to accomplish goals. Merit Pay System: When the County first started talking about merit raises, it was stated that the COLA would not be granted. This has changed. This year COLAs will be granted if funding is available. If funding is available after that, hopefully merit pay will be available to reward employees who have done an excellent job. Performance standards are set that are meaningful, based on good data and are unique for each department. Mr. Roosen discussed with the Board the roles and benchmarks the Board should be aware of for preparing for accreditation. Mr. Roosen discussed Health Department clinics with the Board. Mr. Roosen stated his goal was to get the Board more involved with the Health Department with setting goals. Mr. Roosen asked if the Board had any questions on the information covered. Dr. Larson commented Child Abuse and Neglect statistics worry her. She hopes this is something the Board can focus on in the coming year. Dr. Larson stated to partner with DSS would be wise. Revenue Report: Mr. Roosen reviewed the Revenue Report spreadsheet by program through January 2008. This report shows how much Revenue the Health Department has collected by various Fund Sources and by programs. Mr. Roosen commented a concern he had was Environmental Health. Mr. Roosen asked Kevin Whitley, Environmental Health Program Manager, to discuss why Environmental Health is under the projected revenue. Mr. Whitley shared a handout with the Board. The handout was numbers of applications for new construction. In June there was an over abundance amount of applications due to a rate increase in July from $175.00 to $200.00. The most applications Environmental Health has had were 106 in one month and this count went to 231 in June. Mr. Roosen asked the Board to turn in their mileage to him for payment. Board Concerns/Comments: 1) Mr. Sager suggested the Chairman of the Board and Health Director to assign a Board member to a department to get familiar with the department. This would allow the Board member to be able to contact that department to be more effective and know what is going on with that department. Mr. Roosen commented again one of his goals is to get the Board more involved with coming to the meeting with needs outside of the Health Department. Mr. Roosen stated within the next couple of months, he is going to have the program managers present what their challenges, needs and accomplishments are. Dr. Gooden stated he was in favor of Mr. Sager’s suggestion and asked the Chairman and Health Director to formulate a plan and bring it before the Board for approval. Dr. Gooden feels it has great potential and get the Board more involved with what is going on. 2) Dr. Larson commented on a national conference to be held in Wisconsin July 22-24th. Dr. Larson will already be in Wisconsin and therefore, the only charge to the County would be for registration, etc. Mr. Sager commented he felt it should be budgeted for one person to attend. Mr. Roosen stated monies should be put in the budget for travel/trainings for Board of Health members. At the present, there are no travel/training monies for Board of Health members. Mr. Roosen commented the Board should be able to go to the North Carolina Association of Local Boards of Health meetings, the State Health Director’s meetings, etc. Dr. Gooden made a motion to adjourn the meeting. Mr. Bryan seconded the motion. The motion was passed unanimously. Adjournment Submitted by Bonnie Crouse For James Roosen, RS, MPH Wayne County Health Department Next Scheduled Meeting – March19, 2008
"WAYNE COUNTY BOARD OF HEALTH"