1 of 3 www.wakegov.com Wake County Human Services Board September 27, 2012 AGENDA Human Services Center 220 Swinburne St, 2nd Fl., Rm. 2132 Standing Time: 7:30AM – 10:00AM Dianne Dunning, Chair Pablo Escobar, Vice Chair Purpose: Advocacy, Policy, Advisory, Accountability --Dr. Sharon Foster (reappointment: Nov. 2011-2015) --Ms. Margaret Raynor (RN new appointment: Sept. 4, 2012 - Nov. 14, 2014) All items on the Consent Agenda are considered to be routine and may be enacted by one motion. If a Board Member requests discussion on an item, the item will be removed from the Consent Agenda and considered separately. 7:45 am Human Rights/Consumer Affairs: Mr. Pablo Escobar, Chair Studies: 1. Women w/ Gestational Diabetes Mellitus & Their Infants 2. Prospective Comparison of TB Skin Test 3. Randomized Trial to Prevent Cytomegalovirus Infection Executive Committee: Dr. Dianne Dunning, Chair 7:50 am • Nomination Recommendations: 1. Tameko H. Piggee (Social Worker) Term: Nov. 2012-2016 2. James A. Smith, III, MD, DLFAPA, (Psychiatrist) Term: thru Nov. 2015 7:55 am • 2013 Board Officers Nomination Form, Process, Due Date 7:30 am Meeting Called to Order Invocation Approval of Minutes: August 23, 2012 Next Board Meeting: October 25, 2012 7:35 am Oath of Office - Commissioner James West Consent Agenda Regular Agenda
Transcript
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www.wakegov.com
Wake County Human Services Board September 27, 2012
--Dr. Sharon Foster (reappointment: Nov. 2011-2015) --Ms. Margaret Raynor (RN new appointment: Sept. 4, 2012 - Nov. 14,
2014)
All items on the Consent Agenda are considered to be routine and may be enacted by one motion. If a Board Member requests discussion on an item, the item will be removed from the Consent Agenda and considered separately.
7:45 am Human Rights/Consumer Affairs: Mr. Pablo Escobar, Chair
Studies: 1. Women w/ Gestational Diabetes Mellitus & Their Infants 2. Prospective Comparison of TB Skin Test 3. Randomized Trial to Prevent Cytomegalovirus Infection
Executive Committee: Dr. Dianne Dunning, Chair 7:50 am • Nomination Recommendations:
1. Tameko H. Piggee (Social Worker) Term: Nov. 2012-2016 2. James A. Smith, III, MD, DLFAPA, (Psychiatrist) Term: thru Nov. 2015
7:55 am • 2013 Board Officers Nomination Form, Process, Due Date
8:00 am Board Interviews: 8:00am - Mckinley Wooten, Jr., (Consumer of HS)
8:30am - Myra Brickell, (Pharmacist) 8:55 am Discussion of Candidates and Update on Recruitment Plan 9:15 am Environmental Services Committee: Ms. Leila Goodwin, Chair • Update on Falls Lake Nutrient Management Strategy - Mr. Joseph
Threadcraft, ES Director 9:25 am Update on Wake County Behavioral Health Services - Mr. Joe Durham,
Deputy County Manager
Human Services Mission Statement Wake County Human Services in partnership with the community will anticipate and respond to the public health, behavioral health and the economic and social needs of Wake County residents. We will coordinate and sustain efforts that assure safety, equity, access and well-being for all. - December 2006 _____________________________________________________________________________
Environmental Services Mission Statement To protect and improve the quality of Wake County’s environmental and ensure a healthy future for its citizens through cooperation, education, management and enforcement. Environmental Services combines:
• water quality • air quality • solid waste (recycling, landfills, etc.) • environmental health and safety (sanitation inspections, pest management,
swimming pool regulations, animal control) ________________________________________________________________
9:40 am HS&ES Directors' Q & A
9:55 am Chair's Report
10:00 am Adjournment
Information Packet Items
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FY 2011 Board’s Top Six Priorities: #1 Prevent Child Abuse and Support Families #2 Housing for Vulnerable Populations #3 Obesity Prevention and Nutrition #4 Access to Mental and Physical Health Services #5 Protect Wake County’s Water Resources #6 Human Capital Development (added 10/28/10)
Human Services and Environmental Services Board Quarterly Meeting Schedule
Specific Action Requested: Approve two Board Nomination Recommendations and Forward to
County Commissioners for Official Appointment
Item Summary:
To replenish the Board membership based on the July 2012 amended composition, the Board has
been conducting interviews at the monthly Executive Committee meetings and full Board
meetings.
The Board Executive Committee conducted interviews and moved forward the following
nominations for Board recommendation to County Commissioners:
1. Recommendation for Social Worker Position Vacancy
Term: November 15, 2012 – November 14, 2016:
Tameko H. Piggee (African American/Female) Application is attached.
2. Recommendation for Psychiatrist Position Vacancy
Unexpired Term: Current – November 14, 2015:
James A. Smith, III, MD, DLFAPA (African American/Male) Application is
attached.
Opportunities for Advocacy, Policy or Advisory:
Connections to Other Committees:
The Human Services Board Executive Committee is seeking Nominations for 2013 Board Chair and Vice Chair Offices. The Board Operating Procedures state in Section II-C that “The Board members shall elect a Chairperson and Vice-Chairperson by majority vote each year at the October meeting.” Annual Term: Board Chair and Vice Chair are installed and assume their appointments at the December Board Meeting. Term runs from December to November of the following year.
Duties Include but are not limited to:
o Chair the monthly HS Board Meetings.
o Chair the monthly HS Board Executive Committee Meetings.
o Appoint Committee Chairs.
o Ensure New Board Member Orientation and Committee Training
o Represent Board and agencies at community functions. Do welcomes, introductions or participate as requested.
o Chair and Vice Chair meet with the HS&ES Directors on agency matters.
o Chair and Vice Chair meet with the County Manager’s office on agency matters.
o Vice Chair assists the Chair in carrying out the above duties and serves as Chair in his/her absence.
o Vice Chair serves as chair of the Board nomination process.
ELECTION PROCESS FOR CHAIR AND VICE CHAIR:
Nomination forms will be provided in the September Board meeting packet as well as via e-mail.
Forms used for nominations must be returned to the Executive Assistant to the Board by Noon of
the second Friday in October (October 12).
A Board member may nominate himself or herself for an office or may nominate a fellow Board
member. Board members must obtain the consent of their nominee(s) prior to placing their
name(s) in nomination.
Board members will be provided a list of candidates via e-mail and in the October 25 Board
meeting packet.
VOTING PROCESS:
Election of Chair and Vice-Chair will be held at the October 25 Board meeting. After opening
the floor for additional nominations, votes will be taken in open session for each office.
To be elected Chair or Vice-Chair, a candidate must receive a minimum number of votes equal
to a majority of the duly appointed and currently serving members of the Board. If no candidate
for an office receives a majority of the votes, a run-off will then be conducted between the two
candidates receiving the greatest number of votes.
EFFECTIVE DATE:
Terms for Board Officers take effect at the December Board meeting.
NOMINATION FORM for BOARD CHAIR and VICE CHAIR Wake County Human Services Board
(Distribute in the September Board Meeting Packet) Please return to Jonica Hinton by Noon, October 12, for Consideration
Term: Dec. 2012 – Nov. 2013 The Human Services Board Executive Committee is seeking nominations for 2013 Board Chair and Vice Chair Offices.
I am interested in serving as:
_____Board Chair
_____Board Vice Chair
OR
I nominate: (Must have permission/willingness to serve from the person you nominate)
Articulated interest, past history of serving, and/or
commitment to serve the WCHS target population
Knowledge and experience in public health related matters
Knowledge and experience in social services related matters
Knowledge and experience in other human services related
matters
Experience in representing diverse communities and/or
working on jobs, committees or boards that address existing
disparities
Capacity to connect, represent and communicate the HS
agenda to the Wake County community
Capacity to connect and influence community, county, or
state leaders
Demonstrated experience of previous effective work on a
board, commission or committee
Total (Rating Scale 1 -10) 0
SCALE
Commitment and time availability for HS Board Activities
� Yes
� No
Absence of a conflict of interest
� Yes
� No
Candidate's Name:__________________________
1 2 3 4 5 6
Minimum or Acceptable level
Excellent level
no evidence of of experience, knowledge, skill
of experience, knowledge, skill
RATING SHEET - INTERVIEWEES FOR THE HUMAN SERVICES BOARD
Assessment Criteria/Candidates Notes of Rater
Score of
Rater
(1 - 10)
Knowledge of and experience with
building and implementing some of the
priorities on the current HS Board
agenda
Strong business, financial and/or legal
background
Articulated interest, past history of
serving, and/or commitment to serve
the WCHS target population
Knowledge and experience in public
health related matters
Knowledge and experience in social
services related matters
Name of Rater:__________________________________ Name of Candidate: _____________________________________
Date:__________
Question
Question 1
Please take a look at the current priorities of
the Human Services Board. Please give us an
example or two of experience you have in
addressing any of the top six priorities listed.
Question 2
Please briefly describe an business, financial
or legal background or experience you have.
Question 3
Please talk about any experience or interest
you have in helping to meet the needs of
WCHS target populations.
Question 4
(A) How much do you know about public
health services in Wake County?
(B) Do you have any experience with
delivering or advocating for any of these
services?
Question 5
(A) How much do you know about social
services programs in Wake County?
(B) Do you have any experience with
delivering or advocating for any of these
services?
RATING SHEET - INTERVIEWEES FOR THE HUMAN SERVICES BOARD
Knowledge and experience in other
human services related matters
Experience in representing diverse
communities and/or working on jobs,
committees or boards that address
existing disparities
Capacity to connect, represent and
communicate the HS agenda to the
Wake County community
Capacity to connect and influence
community, county or state leaders
Demonstrated experience of previous
effective work on a board, commission
or committee
Total (Rating Scale 1 -10)
Question 9
Can you talk about a time when you have
successfully influenced the opinion or
decision of a community, county or state
leader.
Question 10
Can you talk about your most significant
accomplishment or contribution as an
effective board, commission, or committee
member?
SCALE1 2 3 4 5 6 7 8 9 10
Minimum or Acceptable level Excellent level
no evidence of of experience, knowledge, skill of experience, knowledge, skill
experience, knowledge, skill
Question 6
Can you talk about experience you have in
addressing an other needs related to human
services for the citizens of Wake County?
Please talk about something you have not
previously discussed.
Question 7
Can you tell us about an successful
experience you have had in representing a
group, neighborhook, professional
organization, or community? This can be as a
committee member, board member, or
community advocate.
Question 8
What might be 2 important considerations
when representing the Human Services Board
Agenda to others outside the Board?
RATING SHEET - INTERVIEWEES FOR THE HUMAN SERVICES BOARD
Commitment and time availability for HS
Board Activities
� Yes
� No
Absence of a conflict of interest
� Yes
� No
WAKE COUNTY HUMAN SERVICES BOARD
AGENDA ITEM SUMMARY SHEET
Agenda Date:
Committee/Item: Environmental Services Committee, Update on Falls Lake Rules:
Implementation of Stage I Rules and Reexamination of Stage II Rules
Specific Action Requested: Item Presented for Information Only – No Action Required
Item Summary:
Item provides background information on the development of the Falls Lake Nutrient
Management Strategy, summary of Stage I and Stage II Rule requirements, current efforts to
reexamine Stage II Rules and opportunities for input from the Human Services Board on policy
recommendations made by the Upper Neuse River Basin Association (UNRBA).
Purpose for Action: Information only.
Next Steps: Staff will address the key issues and periodically brief the Human Services Board
and/or the Environmental Services Committee (ESC), identifying opportunities for the Board or
the ESC to advocate to the State on UNRBA policy recommendations, if desired.
Attachments: Update on Falls Lake Rules: Implementation of Stage I Rules and Reexamination
of Stage II Rules (1 page).
Opportunities for Advocacy, Policy or Advisory: See Next Steps above.
Connections to Other Committees: The Environmental Services Committee of the Human
Services Board provides advocacy, policy and advisory support to the Environmental Services
Department.
Update on Falls Lake Rules: Implementation of Stage I Rules
and Reexamination of Stage II Rules
• Falls Lake is currently classified by the North Carolina Environmental Management Commission (EMC) as WS-IV, B: NSW, CA. Pursuant to this classification, the designated uses of Falls Lake include aquatic life propagation and biological integrity (including fishing and fish), wildlife, primary and secondary recreation, agriculture, and water supply. Falls Lake serves as a water supply for the City of Raleigh (Raleigh) and six other municipalities in Wake County.
• In 2008, the N.C. Division of Water Quality (DWQ) listed the Lake as impaired for biological integrity due to exceedances of the State chlorophyll-a water quality standards in the upper portion of the lake.
• The NC Environmental Management Commission (EMC) passed in 2010, the Fall Lake Rules requiring two stages of nutrient reductions to reduce eutrophication in the Lake and to bring the waterbody into compliance with the chlorophyll-a standard. Stage 1, to be implemented by 2016, is designed to achieve compliance in the Lower Lake (below Highway 50) and to improve water quality in the Upper Lake (above Highway 50) and Stage 2, to be implemented by 2025, is designed to further address water quality in the Upper Lake.
• The Stage 1 management measures include reductions from all major categories of nutrient sources including point sources, agriculture, new development and existing development. Wake County must implement nutrient reductions rules for new and existing development.
• The EMC acknowledged uncertainty associated with the models used to develop the required nutrient load reductions and allowed for reexamination of the Rules. This reexamination would involve additional monitoring and modeling to form a scientific basis for modifying the required load allocations.
• In response to the Rules, local governments in the watershed developed a set of Consensus Principles to help shape the reexamination of the Stage II Rules. The group agreed rules are needed to protect Falls Lake as a water supply.
• The Upper Neuse River Basin Association (UNRBA) representing 14 local governments has taken the lead in the reexamination of Stage II Rules and has hired a consultant, Cardno-Entrix to determine the best approach to address the nutrient management rule requirements.
• Wake County Commissioner, Ervin Portman, is a member of the UNRBA Board of Directors and Melinda Clark, Watershed Programs Manager for Environmental Services, serves as the County’s alternate on the Board. Staff participates in numerous subcommittees facilitating the reexamination of the Rules.
• The Environmental Services Department will inform the Human Services Board of UNRBA’s proposals to address the rules and opportunities for the HSB to advocate to
the State on the UNRBA’s proposals.
Wake HS Quarterly Report by Service Designated Indicator
FY 12 - Q4
PROGRAM or SERVICECaseload Size at end of Fiscal Year
FY 08 - FY 11
Indicator
Tracked
Q1
FY12
Q2
FY12
Q3
FY12
Q4
FY12
COMMENTS FROM PROGRAM ABOUT LEVEL OF CHANGE AND IMPACT ON SERVICE
DELIVERY (For this quarter only)
FY 08, 18,352
FY 09, 18,960
FY 10, 19,997
FY 11, 21,051
5% ↑ in caseload from FY 10 to FY 11
FY 08, 424
FY 09, 489
FY 10, 532
FY 11, 583
10% ↑in number of wards in caseload from
FY 10 to FY 11FY 08, 1235 (Reports Made)
FY 09, 1294 (Reports Made)
FY 10, 1152 (Reports Made)
FY11, 247 (Reports Accepted**)
[Program began tracking new indicator in FY
11]
FY 08, 5,107 (Assessments for FY)
FY 09, 4,834 (Assessments for FY)
FY 10, 5,211 (Assessments for FY)
FY 11, 5,018 (Assessments for FY)
4% ↓in accepted assessments from FY 10
to FY 11
FY 08, 738 (New In Home Cases Opened)
FY 09, 817 (New In Home Cases Opened)
FY 10, 810 (New In Home Cases Opened)
FY 11, 844 (New In Home Cases Opened in FY)
4%↑ from FY 10 to FY 11
FY 08, 232
FY 09, 240
FY 10, 264
FY 11, 319
20 % ↑new placements from FY 10
Childcare Subsidy
FY 11 , 8,544 Caseload Count End of FY
(NOTE: The number children being served is
fairly static; it may change slightly
depending on funding)
**Counts Children
New Cases
Opened for
Service per
Quarter **Counts
Children
509 522 429 1163
Increase from quarter 3 due to serving rising Kindergartners and removing
families from waiting list. The Governor appropriated funds to provide
temporary child care for rising kindergartners. The expenditure of funds
allowed a portion of the children on the waiting list back to January 2010
to be taken off the list and receive services.
Waiting list July 2008, 3,580
Waiting list July 2009, 6,689
Waiting list July 2010, 2,744
Waiting list July 2011, 5,495
100% ↑ from FY 10 to FY 11
414
The waiting list was reduced by utilizing the funds designated for rising
kindergartners to take eligible children off the list.
Childcare Subsidy
New Cases
Added to Wait
List per
Quarter
**Counts
Children
410 368 534
Foster Care
New
Placements per
Quarter
**Counts
Children
81 78 99 75
New foster care placements were 4% higher in FY 12 than FY 11 and 36%
higher than the average for FY 08 through FY 10. It is believed this is due
to a higher number of incidents of dangerous abuse and neglect in which
safe plans to keep children with families could not be made.
Child Welfare In Home
New In-Home
Service Cases
Opened per
Quarter **Counts Cases
Opened for
Families
1,213
The number of assessments and assists was 5% lower in FY 12 than in FY
11, primarily because of lower assessment numbers in the first two
quarters of FY 12.
Adult Protective ServicesAccepted
Reports per
Quarter**
67 68 67 65
191 183 182 173
The number of reports made and accepted for evaluation has been
consistent throughout the year.
Child Welfare CPS
Assessments
Accepted
Assessments
per Quarter
1,106 1,137 1,294
The number of new In Home Services cases was 14% lower in FY 12 than in
FY 11. This has brought caseloads closer to being in compliance with
caseload standards. It also has allowed Child Welfare to assign some
foster care cases to In Home Services workers and to leave some positions
vacant in anticipation of the loss of federal revenue.
920 905 1,046 974
In this quarter 2,800 applications were received, of those about 30% were
approve. This pattern has been seen in previous quarters of this fiscal year:
Q1, 32% of submitted applications were approved; Q2, 32% of submitted
applications were approved; and Q3, 29% of applications were approved in
the same quarter the number of applications increased over the previous
quarter by 35%.
Adult GuardianshipWards Added
per Quarter39 29 23 39
There was an increase of 70% new cases opened from Q3 to Q4. A Mental
Health System policy change to no longer provide Targeted Case
Management may result in an increase in the number of guardianship
cases opened in the next fiscal year.
Adult Medicaid New Cases
added per
Quarter
9/17/20126:07 PM Wake County Human Services Quarterly Report 1
Wake HS Quarterly Report by Service Designated Indicator
FY 12 - Q4
PROGRAM or SERVICECaseload Size at end of Fiscal Year
FY 08 - FY 11
Indicator
Tracked
Q1
FY12
Q2
FY12
Q3
FY12
Q4
FY12
COMMENTS FROM PROGRAM ABOUT LEVEL OF CHANGE AND IMPACT ON SERVICE
DELIVERY (For this quarter only)
FY08, 36,558 cases
FY09, 41,495 cases
FY 10, 45,317 cases
FY 11, 47,870 cases
6% ↑ from FY 10 End of Year Caseload
FY 08, 20,416
FY 09, 25,998
FY 10, 27,816
FY 11, 28,166
1.2% ↑ in customers served from FY 10
FY 08, 19,866
FY 09, 25,892
FY 10, 30,408
FY 11, 35,809
18% ↑ from FY 10 End of Year Caseload
Calendar Year 2008, 37
Calendar Year 2009, 115
Calendar Year 2010, 84
Calendar Year 2011, 76
9.5% ↓ from Calendar Year '10 to '11
Calendar Year 2008, 321
Calendar Year 2009, 281
Calendar Year 2010, 285
Calendar Year 2011, 249
12.6% ↓ from Calendar Year '10 to '11
Calendar Year 2008, 1030
Calendar Year 2009, 1010
Calendar Year 2010, 1249
Calendar Year 2011, 1355
8.5%↑ from Calendar Year '10 to '11
Calendar Year 2008, 3121
Calendar Year 2009, 3590
Calendar Year 2010, 4530
Calendar Year 2011, 4748
5%↑ from Calendar Year '10 to '11
Case numbers still unofficial as of 8/3/12. The state Communicable Disease
Branch has not released its official second quarter (Calendar Year 2012)
Sexually Transmitted Disease (STD) report.Chlamydia Services (New
this FY)
New Cases
being Served1290 1361 1062 1057
Gonorrhea Services (New
this FY)
New Cases
being Served354 357 326 303
Case numbers still unofficial as of 8/3/12. The state Communicable Disease
Branch has not released its official second quarter (Calendar Year 2012)
Sexually Transmitted Disease (STD) report.
HIV/ AIDS Services *New Cases
being Served
21
Case numbers still unofficial as of 8/3/12. The state Communicable Disease
Branch has not released its official second quarter (Calendar Year 2012)
Sexually Transmitted Disease (STD) report.
Food and Nutrition (FNS)
New Cases
Opened for
Services per
Quarter
6,162 5,898 5,929 6,139
65 70 59 42
Wake Food and Nutrition Services is transitioning to NCFAST Case
Management System. The number of new cases opened for the period will
be amended if necessary when the NCFAST reporting component is fully
online. Program staff indicate actual count should be slightly higher.
Syphilis ServicesNew Cases
being Served27 17 18
Case numbers still unofficial as of 8/3/12. The state Communicable Disease
Branch has not released its official second quarter (Calendar Year 2012)
Sexually Transmitted Disease (STD) report.
Workforce Development
New & Repeat
Customers
Served by Job
Link &
Employment/
Vocational
Services
11,200** 8,911** 9,662 9,055
Approximately 2724 or 30% of the 9,055 customers served in Q4 received
services at the Millbrook Center. Total customers served in FY 2012
estimated at 38,828, an increase of 38% from FY 2011. This increase was
attributed to making this service available at the Millbrook Center; 10,441
of all customers tracked in FY 2012 were served at Millbrook Center.
Without Millbrook numbers, there was an increase of less than 1% from FY
2011.
Medicaid - Children and
Families
New Cases
Opened for
Services per
Quarter
8,450 7,443 8,384 8,633
This quarter's figures are the total of applications approved from April
2012 through June 2012. This represents a 3% increase from 3rd quarter
to 4th quarter. This figure is also comparable to the 1st & 3rd quarter
figures.
9/17/20126:07 PM Wake County Human Services Quarterly Report 2
Family Disruption, and Aging. The plan also includes summaries of problems and available
data, target goals, partners, strategies and related WCHS programs.
V. Next
Meeting
Friday, September 7, 2012
9-10:30 am ~ Swinburne Building, Room 2132
VI.
Adjournment
The meeting adjourned at 10:30 am.
Human Services Regional Networks Committee - Minutes August 9, 2012
1
Committee Charge: Create advocacy, awareness, and community and political support for the need and value of regional networks of care.
Members Present Human Services Staff Present Agenda
Frank Eagles Benny Ridout
Lunette Vaughan, SRC CAC Rep
Bob Sorrels Ross Yeager Sonya Peterkin Rosena West Kris Ramsundar Diana McBride Lucinda Rice
Regina Petteway Kathleen Nilsson Maria Robayo Karen Morant
RNC Clerk Matt Burton
I. Call To Order/Welcome II. Western Regional CAC Discussion III. Southern Regional Center Update IV. Eastern Regional Center Update V. Northern Regional Center Update VI. Millbrook Human Services Center Update VII. Committee Name Change/Reorg. Of HS
Board/Bylaws Revision VIII. Good of the Order IX. Adjourn
Meeting called to order by Mayor Frank Eagles (Chair). N/A N/A N/A
II. Western Region CAC Discussion
Ross introduced Maria Robayo, Kathleen Nilsson, and Karen Morant. Lisa Sellers was not present today. Kathleen referred everyone’s attention to the handout entitled ‘Recruitment Plan for the Western Regional Community Advisory Committee,’ which was in draft form. She said there is an ambitious timeline to recruit applicants (15) and conduct interviews, which will be done in early October, with an anticipated decision at the end of October. The team anticipates holding the first Western CAC meeting in December and putting together a recruitment subcommittee. Bob said it would be good to have the nominees apply to the regional directors.
Kathleen and team members will continue to recruit, interview, and organize the western CAC
Regina, as the team’s advisor, stated that the team is putting together some specific steps, regarding the application process. Regina said some internal steps are being looked at, such as where individuals send applications, where interviews will be done, etc. She encouraged members of the RNC to recruit individuals. Rosena said that the Town of Apex has traditionally been considered a part of the south for service purposes, whereas now the municipality would be in the west. Bob said an individual from the west could serve on both the south and west CACs, or there could be two people – one serving in the west, and one in the south (their choice). Bob continued that the RNC does not govern the areas – the RNC should give people the choice. Mayor Eagles concurred that we are all one county and would like to see the CACs be self-governing bodies. Benny agreed.
III. Southern Regional Center Update
Rosena began her report by saying at the end of FY12, the SRC had over 9,000 health visits, which included between 1,700-1,900 WIC visits. Their CAC chose three priority areas to address: employment (target veterans), marketing, and community collaborations. The SRC has 3,498 Job Link visits, which translates to a 16.6% increase over last year. She said the SRC completed the public health accreditation process, and it took a lot of work to be in full compliance. It was a good team effort, and the SRC received high marks on cross collaboration. Benny commended the SRC, and indeed all of the regional centers, for meeting the accreditation requirements.
Rosena said the SRC has taken advantage of volunteer services, and currently host a volunteer that nearly works full-time. Last year, 457 hours were donated from volunteers, which equates to $10,829 at the volunteer rate.
N/A N/A N/A
IV. Eastern Regional Center Update
Sonya began her report by reminding attendees that Darryl is currently deployed in Russia and will return later in the year. Consequently, the ERC 10th anniversary celebration will be postponed until Darryl returns. The ERC is putting
together a care package to send Darryl. She discussed the ERC’s effort to partner with the faith communities, and that service surveys have been sent out. ERC CAC member, James Nixon, offered to contact churches who did not respond. The ERC is putting together a 3-4 minute video of partnerships, and the script is almost complete. The video will air on East Wake TV. She recognized Diana McBride for her help on this project. They anticipate a roll-out in early September. The ERC is doing an internal survey with clients to ascertain their health needs, and offer workshops as a result of their findings. The surveys will be complete by the end of August. She concluded by noting the ERC CAC will meet on August 15 from 3-4 PM.
V. Northern Regional Center Update
Ross began his report by referring attendees attention to a handout showing pictures and describing an update on the Service Integration (SI) project. He passed around the ‘wheel of services,’ or as it has become known at the NRC, the ‘service compass.’ These wheels show services available at the center and refer clients’ to various one-pagers of information on the lobby wall – color coded to correspond to the wheel. The wheels are very inexpensive to produce and can be done so in house. Each one pager has a QR code where people with smart phones can take a picture and be instantly referred to the individual service website. With more automation of programs coming, much of the work and service intake will be done in the lobby. Therefore, the NRC has been working to reorganize the lobby in a more sensical fashion, in concert with this SI project. The NRC CAC has been very involved in this SI project, and he recognized the members of the NRCs SI Team. Benny congratulated Ross and his staff on this excellent project.
Continue to work with SI Team and certified translators to make the service compass and one-pagers bilingual.
Bob said this project could also be used well in concert with the new website (SharePoint) and the NRC Facebook. Ross recognized Matt for his duties as a departmental web author and keeping the NRC Facebook active and updated. Ross said two new members were recently elected to the NRC CAC – Toshiba Rice and Jennifer Manley. Mayor Eagles asked if the one-pagers were bilingual. Ross said some are, and some are not, however he is working closely with a certified translator to make sure the wording is correct, and eventually the service compass will also need to be bilingual Maria suggested working with two certified translator to further ensure proper translation.
VI. Millbrook Human Services Center Update
Kris began his report by announcing a windshield tour in September in an attempt to recruit more people to the committee and clients to the center. Many faith communities are involved, but he would like to see more business leaders. A committee member is paying for a bus rental and lunch during this tour, meaning no county money will be expended during this promotion. The Millbrook Center just finished a session of Club Choice, and used the Green Road Community Center free of charge. The Brentwood Community Center is now, similarly available for their use. Kris talked about the collaboration with Summit Church and with local schools – in particular Fox Road and Brentwood Elementaries. Doug Gamble of Crossroads Church has been a fruitful contact of the center. Bob said the Board of Commissioners recently approved the restructure of the Millbrook Center lease. Human Services will now be the sole tenant in this vibrant center. Bob went on to say that the expansion request submitted for the cornerstone property in Cary was also approved, and a redesign plan will be done for this facility. Benny inquired
Bob will find out the square footage of the Cornerstone Center in Cary and inform Mr. Ridout of this.
about the square footage in this location. Bob was unsure and would find out for Benny. Human Services would now be able to use over ½ of the first floor of this building.
VII. Committee Name Change/Reorg. Of HS Board/Bylaws Revision
Mayor Eagles discussed some changes within the Human Services Board. There are now only two standing committees – Public Health and Social Services. The RNC should be considered a workgroup, which would be a name change and possibly inaugurate a bylaws change. He said the RNC should serve at the pleasure of the CACs; not the other way around. Ross said whatever changes may occur, he still likes the idea of the joint meeting of the CACs, perhaps once a year. Benny opened the discussion further of a bylaws revision. Mayor Eagles and Ross reminded the group that the bylaws were redesigned last year to a set of ‘Operational Procedures,’ and was approved by the Human Services Board in October 2011. But given the recent changes within the Human Services Board and the discussion of the roles of the RNC and CACs today, Benny suggested a committee could look at revising them again. Rosena noted that the procedures have gone through a number of changes from loose to restrictive. Regina said today’s meeting and discussions offer a good opportunity to revise the Operational Procedures once more. Regina asked Ms. Vaughan what she thought of the discussions or suggested revisions to the bylaws. Lunette said she liked what she has heard and encouraged the group to continue its good collaboration and to be as visible to the public as possible, in its services and processes.
Ross and Matt agreed to begin drafting edits for the new set of Operational Procedures, or Bylaws. Ross, Matt, and Mayor Eagles will continue to discuss upcoming meetings, either of the RNC or a joint RNC/CAC meeting, perhaps waiting until after the western CAC is established.
Ross, Matt, Mayor Eagles
No later than December 2012.
VIII. Good of the Order
There were no additional good of the order recognitions. N/A N/A N/A
IX. Adjourn Hearing no further business, Mayor Eagles adjourned the meeting at 11:07 A.M.
N/A N/A N/A
DRAFT
1
Environmental Services Committee
August 10, 2012
Library Administration – Wake County Office Park
11:30 a.m. Wake County Managers Office
Joe Durham
Human Services Board Members
Present:
Leila Goodwin
Clarence (Benny) Ridout
Jeffrey Smith
Human Services Board Members
Absent: Frank Eagles
Melissa Jemison
Kent Earnhardt
Dianne Dunning
Community Members Present:
Rodney Dickerson
Bob Rubin
Phillip White
Bryan Hicks
Julian Prosser
Community Member Absent:
Buck Kennedy
Les Hall
Henk Schuitemaker
Donald Haydon
John Whitson
Suzanne Harris
Julian Prosser
Paula Thomas
Kenny Waldroup
Ed Buchan
Glenn Harris
Liz Turpin
Julie Wilkins
Staff Present:
Matt Roylance
Michelle Ricci
Deborah Peterson
Ed Duke
Melinda Clark
Staff Absent:
Joseph Threadcraft
Andre Pierce
Sue Ledford
Britt Stoddard
Sarah Williamson-Baker
Guests/Others:
Evan Kane, NCDENR
DRAFT
2
Agenda Item
Discussion, Conclusions, Recommendations Action, Follow-up Responsible Party Due
Date
I. Call to Order
II. Minutes
III. Update on Falls
and Jordan Rules
Chair Leila Goodwin called the meeting to order at 11:55 A.M.
The May 11, 2012 minutes were approved as written.
Highlights
• The new stormwater rules are effective as of July 2, 2012
• Falls Lake and Jordan Lake have been designated as Nutrient
Sensitive Waters by the North Carolina Division of Water
Quality
• Both are considered polluted due to excessive nutrient inputs
(stormwater runoffs is one of the major sources)
• The two programs are being addressed in one set of regulations
within the Unified Development Ordinance, Section 9-21 State
Nutrient Management Strategy Rules.
• Nutrient reduction requirements for the Falls Lake and Jordan
Lake watersheds are different. Depending on which watershed
the development is located will determine the nitrogen and
phosphorus limits.
Committee
Member
Melinda Clark
DRAFT
3
Agenda Item
Discussion, Conclusions, Recommendations Action, Follow-up Responsible Party Due
Date
III. Update on Falls
and Jordan Rules
(Continued)
Update: Bacteria
Source Tracking
Falls Lake Beaches
Highlights For More Information go to this location on the Wake County website:
Public Health Committee Meeting Minutes –17 August, 2012
Committee Members Present: Benny Ridout, Sherée Vodicka, Ann Rollins, Anne McLaurin, Barbara Anne Hughes, Sharon Foster, Penny Washington Staff Members Present: Ramon Rojano, Sue Lynn Ledford, Michelle Ricci, Peter Morris Guests: Kristina Wharton, Trina Ozer
Agenda Items
• Welcome
• Approval of Minutes
• Chair’s Privilege
• Human Services Director’s Report o Top Public Health Issues
• Public Health Division Director’s Report
• Hydraulic Fracturing in North Carolina
Welcome and Call to Order Benny Ridout New Committee Member
Benny welcomed committee members and called the meeting to order. Laura Aiken has a new position with WakeMed and no longer represents Advocates for Health in Action (AHA). Sherée Vodicka, Director for AHA has attended meetings, representing the coalition. Anne McLaurin made a motion to make Sherée a member of the Public Health Committee. The motion was seconded by Barbara Ann Hughes and the Committee voted unanimous approval of Sherée’s membership. Sherée was welcomed to the Public Health Committee.
Approval of Minutes
Benny asked for a motion to approve the minutes of the July 20 meeting. The following corrections were made to the minutes: Dr. Tonya Puskin was a guest at the last meeting, Penny Washington and Barbara Ann Hughes were added to the members present and Kristina Wharton’s name was changed to the correct spelling. Ann Rollins made a motion to approve the minutes with changes; Sharon Foster seconded the motion. The minutes were unanimously approved.
Progress of the Wastewater Treatment Subcommittee has been reported to the Assistant County manager; he was given several ideas of strategies the committee could adopt to address preventive maintenance and correction of malfunctioning wastewater treatment systems in Wake County. The focus of strategies will continue to be education. A meeting is planned in the near future to talk about the direction of the subcommittee.
Human Services Director’s Report Ramon Rojano Human Services Board Reorganization
There are two processes underway in Human Services—Human Services Board (Board) member recruitment and strategic planning. The board is being reorganized—prioritizing Public Health and Social Services. As a result the Public Health Committee will acquire more Board members as committee members. The Board has asked Ramon to identify both Public Health and Social Services issues so that potential new Board members can be informed during the recruitment process. There are 11 vacancies on the Human Services Board. The number of Board members will change from 35 to 19 because the former LME is no longer part of Human Services. All positions required for Public Health are included in the 19. Active recruitment is underway for a pharmacist, dentist and a nurse. Ramon will send the recruitment letter to Michelle to forward to the committee. The Board has recently begun interviewing candidates for the Social Worker position.
Public Health Committee Meeting Page 2
Strategic Planning Top Public Health Issues Coordinating Strategies
Strategic planning for the next two years has been taking place while looking forward to the next five years. The department is moving from documenting units of service to documenting outcomes. An active data team is providing results of the Department’s efforts. Over the past three months, the strategic planning team process has identified over 100 specific and measurable work objectives for the future. Ramon gave Committee members a document describing the health and social indicators to be addressed by WCHS as part of coordinating strategies and calls to action for fiscal years 2012-2017. The document was a first draft which was to be presented to the Board. He invited Committee members to provide feedback on the document as he reviewed it. There are many public health issues; however the top 12 issues/indicators (not in priority order) were described on the document—infant mortality, access to health care, obesity and diabetes, hypertension, heart disease and stroke, asthma, cancer, STDs (chlamydia), HIV/AIDS, foodborne illnesses, smoking, and water quality. The department data team was asked to provide a summary of data for each of the issues. Social issues/indicators included on the document were poverty/low income, unemployment, youth development, homelessness, hunger, illiteracy, domestic violence/human trafficking, child abuse, incarceration reentry, family disruption and aging. Ramon discussed income as a predictor of health and stressed the connectivity of social issues to public health. Using the concept of coordinating strategies, leadership acts a catalyst, convener and facilitator of a process of community empowerment and development that helps facilitate community response to issues. Resources are deployed to work in public, private and community partnerships. Ramon outlined the process underway to develop coordinating strategies—selection of issues, gathering of data, identification of existing WCHS resources, identification of additional public, private and community resources, recruitment of champions with a passion and time for the issues, assignment of staff to support the work, establishment of working groups on the issues, development of a plan for each working group, development of a data collection system and development of an evaluation and monitoring process. Ramon will share this process and the issues identified with the Board for its action. Discussion included:
• The role of education in both income and health care. Dr. Foster stressed the role she has seen education play in asthma control in her practice’s patients; there have been no Medicaid patients in her practice hospitalized for asthma in 3 years.
• The next issue of the NC Medical Journal will be about the built environment followed by an issue on the social determinants of health. Dr. Peter Morris has been selected as the Editor in Chief of the Journal.
• The significant role of transportation in access to health care. The built environment can help provide people with access. Sue Lynn has been working with Sherée, staff and city and county planning staff to find funding for health impact assessments.
Public Health Committee Meeting Page 3
Public Health Division Director’s Report Sue Lynn Ledford H3N2v Recommendations from Department of Agriculture Study Commission following 2011 E. Coli 0157:h7 Outbreak Canine Rabies Case
Almost all cases of H3N2v have been linked to State Fairs. Indiana has had 120 cases, Ohio 31. In NC, the Department of Agriculture takes very aggressive measures to screen animals for signs and symptoms of illness—a vet screens every animal that comes into the Fair. Public Health is working with State Fair vets and others to be alert to H3N2v. Measures have been taken made to make changes as a result of the 2011 E. coli 0157:H7 outbreak including changes in animal/people traffic patterns, hand washing, and no strollers in animal areas. Recruitment is underway to identify interns from area universities who are interested in public health issues to work in Germ City; a venue at this year’s Fair. There will also be a public health presence at the Fair this year as well. Educational materials are being developed for use with 4-H exhibitors that can be offered by health departments across the state for use with 4-H exhibitors. The goal is to develop a consistent public health message across 4-H to protect both people and animals. Other changes include additional and new types of hand washing stations. Measures already taken were very impressive. There will be neon signs over hand washing stations and people in the animal areas will be given verbal reminders to wash their hands. An observational study of hand washing was done at Got to Be NC --findings have been used to develop strategies to encourage hand washing. Public Health and Environmental Health are working closely together on the Fair. Committee members can view the Department of Agriculture Study Commission’s report on line at http://www.ncstatefair.org/StudyCommission/Recommendations.pdf. Educational materials and posters abut H3N2v are available on the CDC’s website. A case of rabies in a Garner dog named Susie exposed 7 people that are being treated. Seven dogs were exposed—3 have been euthanized 4 are receiving booster rabies vaccine. Communication about this case has been aggressive because the dog wandered through a neighborhood—signs have been posted, phone calls places on the telecommunicator and information shared through media outlets. A rabies vaccine clinic is being conducted for pets in the area as well. Discussionincluded:
• H3n2vMortality rate—similar to that of seasonal flu. Much like seasonal flu.
• Pertussis and West Nile Virus have been in the news; there has been a lot of prevention messaging through the media. Mosquito surveillance is not conducted in Wake Co.
• Lynette Tolson was not able to attend the meeting but asked the committee, via Sue Lynn, to consider if Wake County would provide flu vaccine to the General Assembly. She also asked about the Public Health Committee’s willingness to meet with the Wake County legislative delegation. Ann Rollins offered the Poe Center as a potential meeting site.
• Challenge of screening for chlamydia and gonorrhea in 15 to 16 year olds in private medical practice. Many parents are unhappy with their children being screened. A suggestion was made to post data about the high number of cases in the 15 to 19 year old age group to raise awareness.
• Barbara Ann thanked Sue Lynn for sending to people to the poster session at the National Association of Local Boards of Health annual meeting. The poster, on field delivered therapy for sexually transmitted infections, was well received.
Purpose: To provide the Committee with information about “fracking”, the environment and health Action: Receive information Trina Ozer, Policy Development Analyst with the NC Department of Environment and Natural Resources provided the committee with a presentation on hydraulic fracturing or “fracking”. DENR was directed by the NC General Assembly to study the issue of oil and gas exploration in NC focusing on the use of horizontal drilling and hydraulic fracturing to extract shale gas. Ms. Ozer served as Study Coordinator. Her presentation included:
• A history of gas and oil exploration in NC
• The areas of Wake County where conditions are right for natural gas
• The environmental and social impacts of hydraulic fracturing. DEHNR did not ask for the study to include Public Health impacts; not much data about public health impacts is available.
• How fracturing works
• Environmental impacts
• Infrastructure impact
• Law regarding “fracking” in NC and gaps
• Funding recommendations
Other Business Sherée was congratulated on completion and submission of the Community Transformation Grant. She anticipates learning about the status of the grant application mid- to end of September. If awarded the grant, work can begin in December.
Adjournment Benny thanked committee members for their participation and adjourned the meeting.
FYI:
Board of Commissioners Meeting Agenda Items Related to Wake County Human Services and Wake County Environmental Services
