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CONSOLIDATED HEALTH AND HUMAN SERVICES BOARD

REGULAR MEETING AGENDA

THURSDAY, APRIL 4, 2019 – 6:00 PM

I.

Call to Order / Invocation / Pledge of Allegiance

Board

II.

Adoption of Agenda

Board

III.

Introduction of New Staff

David Jenkins

Dolly Clayton

IV.

Scheduled Agenda Items

1.

1221 : Proclamation - Public Health Week April 1 - 7, 2019 - Action

Required

Debbie Bennett

2.

1225 : 2018 Community Health Assessment Report (Accreditation

Activity 38.2)

Debbie Bennett

3.

Rural Communities Opioid Response Program-Implementation

Grant - Action Required

Jennifer Layton

4.

Social Services Orientation for HHS Board

Dolly Clayton

5.

Home Health Discussion

David Jenkins

V.

D.S.S. Updates

A.

DSS Report of Services - Feb. 2019

Dolly H. Clayton

VI.

Health Department Updates

A.

FY18-19 Expenditure & Revenue Report (Accreditation Activity

33.6)

David Jenkins

B.

Activities Summary - Health Department - Feb. 2019

David Jenkins

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APRIL 4, 2019

Consolidated Health and Human Services Board Regular Meeting

Page 2 of 2

A.

501c3 Bylaws

David Jenkins

VIII.

Adoption of Consent Agenda

A.

Consolidated Health and Human Services Meeting Minutes -

3/07/19

David Jenkins

IX.

Adjournment

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Stanly County Consolidated Health and Human Services Board

Meeting Date: April 4, 2019

4.1

ITEM TO BE CONSIDERED

Subjec

t

Proclamation - Public Health Week Ap[ril 1 - 7, 2019

Please see the following proclamation for Board consideration and approval.

Req

u

es

ted

Act

ion

Request Board approval of the enclosed proclamation.

Attachments:

Proclamation_PHW_4-01-19_4-07-19

(PDF)

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RESOLUTION ACKNOWLEDGING PUBLIC HEALTH WEEK AND THE IMPORTANT ROLE PUBLIC HEALTH PLAYS IN THE HEALTH AND WELL-BEING OF STANLY COUNTY AND NORTH CAROLINA CITIZENS

WHEREAS, the week of April 1, 2019, through April 7, 2019, is National Public Health Week; and

WHEREAS, the public health system of North Carolina and Stanly County is an essential component in providing for the

health and well-being of all residents; and

WHEREAS, public health measures lead to the improvement of the quality of life for North Carolina and Stanly County

residents; and

WHEREAS, these public health measures include promoting healthy lifestyle practices, preventing substance misuse,

preventing chronic diseases, controlling infectious diseases, addressing health disparities, preventing violence, promoting access to health care, improving the environment and preparing for emergency events; and

WHEREAS, efforts to support public health activities continue to transform a health system focused on treating illness

to a health system focused on preventing disease and promoting wellness;

NOW THEREFORE, BE IT RESOLVED, the Stanly County Commissioners

(1) support the goals and ideals of National Public Health Week;

(2) recognize the efforts of local, statewide and national public health professionals in promoting quality of life as well as preventing disease and injury;

(3) recognize the role of public health in improving the health of individuals in North Carolina and Stanly County;

(4) encourage increased efforts and resources to improve the health of people in North Carolina and Stanly County;

(5) encourage the people of Stanly County to learn about the role of the public health system in improving health in Stanly County.

BE IT FURTHER RESOLVED, the Stanly County Board of Commissioners, do hereby proclaim April 1, 2019 through April 7,

2019 as "Public Health Week” in Stanly County.

___________________________________ Matthew Swain, Chairman

ATTEST:

______________________________ Tyler Brummitt, Clerk to the Board

4.1.a

Packet Pg. 4

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Stanly County Consolidated Health and Human

Services Board

Meeting Date: April 4, 2019

Presenter: Debbie Bennett

Department: Consolidated Health and Human Services Board

4.2

Regular Agenda

ITEM TO BE CONSIDERED

Subjec

t

2018 Community Health Assessment Report - Accreditation Activies 38.2

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Stanly County Consolidated Health and Human Services Board

Meeting Date: April 4, 2019

4.3

ITEM TO BE CONSIDERED

Subjec

t

Rural Communities Opioid Response Program-Implementation Grant - Action Required

This grant is funded through the Health Resources and Services Administration branch for up to

$1,000,000.00 to implement prevention, treatment and recovery of substance use disorders.

Req

u

es

ted

Act

ion

Request Board approval to seek grant application.

4.3

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Stanly County Consolidated Health and Human

Services Board

Meeting Date: April 4, 2019

Presenter: Dolly Clayton,

Department: Social Services

4.4

Regular Agenda

ITEM TO BE CONSIDERED

Subjec

t

Social Services Orientation for HHS Board

(8)

Stanly County Consolidated Health and Human

Services Board

Meeting Date: April 4, 2019

Presenter: David Jenkins, Health and Human Services Director

Department: Consolidated Health and Human Services Board

4.5

Regular Agenda

ITEM TO BE CONSIDERED

Subj

ec

t

Home Health Discussion

4.5

(9)

Stanly County Consolidated Health and Human

Services Board

Meeting Date: April 4, 2019

Presenter: Dolly H. Clayton

Department: Consolidated Health and Human Services Board

5.A

Regular Agenda

ITEM TO BE CONSIDERED

Subjec

t

DSS Report of Services - Feb. 2019

Attachments:

DSS_Report of Services_4-04-19 (PDF)

(10)

5.A.a

Packet Pg. 10

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Stanly County Consolidated Health and Human

Services Board

Meeting Date: April 4, 2019

Presenter: David Jenkins, Health and Human Services Director

Department: Consolidated Health and Human Services Board

6.A

Regular Agenda

ITEM TO BE CONSIDERED

Subj

ec

t

FY18-19 Expenditure & Revenue Report (Accreditation Activity 33.6)

Attachments:

Rev-Exp Report_Feb_4-04-19

(PDF)

6.A

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6.A.a

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Stanly County Consolidated Health and Human

Services Board

Meeting Date: April 4, 2019

Presenter: David Jenkins, Health and Human Services Director

Department: Consolidated Health and Human Services Board

6.B

Regular Agenda

ITEM TO BE CONSIDERED

Subj

ec

t

Activities Summary - Health Department - Feb. 2019

Attachments:

Activities Summary_Stanly Co Health_4-04-19 (PDF)

6.B

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6.B.a

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6.B.a

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6.B.a

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6.B.a

Packet Pg. 18

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Stanly County Consolidated Health and Human Services Board

Meeting Date: April 4, 2019

7.A

ITEM TO BE CONSIDERED

Subjec

t

501c3 Bylaws

Bylaws required for FQHC and 501c3 designation.

Req

u

es

ted

Act

ion

Request Board signatures.

(20)

Stanly County Consolidated Health and Human Services Board

Meeting Date: April 4, 2019

8.A

ITEM TO BE CONSIDERED

Subjec

t

Consolidated Health and Human Services Meeting Minutes - 3/07/19

Regular meeting minutes - March 7, 2019.

Req

u

es

ted

Act

ion

Request acceptance and approval of Health and Human Services meeting minutes - March 7, 2019.

Attachments:

HHS_Meeting Minutes_3-07-19 (PDF)

8.A

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CONSOLIDATED HEALTH AND HUMAN SERVICES BOARD

REGULAR MEETING MINUTES

THURSDAY, MARCH 7, 2019 – 6:00 PM

Call to Order / Invocation / Pledge of Allegiance

The Stanly County Consolidated Health and Human Services Board met on Thursday, March 7, 2019 at 6:00 PM in the Commissioners Meeting Room.

Attendee Name Title Status Arrived

Nancy Smoak Board Member Present

Boyd Huneycutt Board Member Present

Joan Eudy Board Member Present

Ric Cain Board Member Present

Beth Thomas Board Member Present

Tom Norwood Board Member Present

James Marshall Board Member Present

Shirley D Lowder Board Member Present

Amy Jordan Board Member Present

Georgette Edgerton Board Member Present

Caroline Sawyer Board Member Present

Larry Gibson Board Member Present

Mike Barbee Commissioner Present

Tommy Jordan Commissioner Present

Jann Lowder Board Member Present

Elizabeth Teal Board Member Present

Michael A Williams Board Member Absent

Chair Jann Lowder called the meeting to order, with Commissioner Mike Barbee leading the Invocation and Pledge of Allegiance.

Staff members present: G. David Jenkins, Dolly Clayton, Teri Bowers, Debbie Bennett, Patricia Hancock, David Ezzell, Lucy Walters and Charles Hartsell.

Adoption of Agenda

Chair Lowder requested that item #3 be changed from Home Health Discussion to Home Health Presentation with time allowed for questions. No action required.

A motion was made by Mr. Larry Gibson with a second from Dr. Joan Eudy to amend the agenda to change item #3 from Home Health discussion to Home Health presentation with no action required. The motion passed unanimously.

8.A.a

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MARCH 7, 2019

Consolidated Health and Human Services Board Regular Meeting

Page 2 of 4

Introduction of New Staff

There was no new staff members for Health or D.S.S. for introduction to board members.

Scheduled Agenda Items

1. Proclamation: Child Abuse Prevention Month April 2019 - Action Required

Mrs. Dolly Clayton presented the proclamation declaring March 2019 as Social Work Month for board consideration. After reading the proclamation, she requested Board approval of it.

A motion was made by Ms. Shirley Lowder with a second by Ms. Nancy Smoak for approval of the proclamation. The motion passed unanimously.

RESULT: APPROVED [UNANIMOUS]

AYES: Smoak, Huneycutt, Eudy, Cain, Thomas, Norwood, Marshall, Lowder, Jordan, Edgerton,

Sawyer, Gibson, Barbee, Jordan, Lowder, Teal

ABSENT: Williams

2. New Member/On-going Board Member Training (Accreditation Activity 36.2, 36.3)

Mr. David Jenkins provided a presentation on new and on-going board member training. This completes an accreditation requirement for orientation of board members.

After the presentation, members were provided time for comments and questions.

3. Home Health Discussion - Action Required

Mr. Jenkins shared that after the home health presentation by Mr. Gary Massey, CPA with CliftonLarsonAllen, LLP at the commissioner's retreat last Friday, he was tasked with more questions concerning home health that the board would like answered. He shared those questions with board members and explained that he and other staff are working to gather information and also shared information that had been gathered which addressed some of these questions. The concern is while home health patient numbers have increased over the last several years, the fund balance has decreased. There was discussion that Stanly County Home Health is the only home health agency that offers Medicaid pediatric therapies in Stanly County and how Medicaid reimbursements are lower than Medicare or private insurers. There was also discussion contemplating if Stanly County Home Health should only serve pediatric patients, but more information would be needed to determine if that would be feasible. Mr. Jenkins stated that Mr. Massey did convey that historically, when other counties no longer operate a home health agency, other agencies step up to serve the pediatric Medicaid and indigent population. Mr. Jenkins shared that we have invested money in new software to enhance billing and revenue is actually good right now but there are questions about the big picture when considering the decreasing fund balance.

After a period of discussion and questions, Chair Lowder suggests that staff contact other home health agencies which serve Stanly County to inquire if they serve pediatric patients, gather information on other questions and come before the board at the April meeting for further discussion.

D.S.S. Updates

A. DSS Report of Services - Jan. 2019

8.A.a

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MARCH 7, 2019

Mrs. Dolly Clayton states that revenue is at 48% and expenditures are at 52% through January 2019. Mrs. Clayton highlighted some of the program numbers in the report included in the board members packet. She states they are continuing to fill vacant positions and staff are continuing to train and prepare for NCFast P4 implementation of child welfare into the system. She shared exciting news of finalizing an adoption of a medically fragile child, who had been in the foster care system.

Mrs. Clayton explained how the agency distributes customer service surveys to clients, which includes space for customer feedback. Mrs. Clayton took a moment to read some of the positive comments concerning staff and praised staff for the great work they do every day. Mrs. Clayton announced that she would like to invite board members to the second annual Social Work Month Appreciation event, which will be held on March 21st at 8:30 a.m. in the D.S.S. auditorium.

This week she attended the Prevent Child Abuse NC Learning Leadership Conference and shared handouts with board members regarding legislation, changes and reform. And Finally, she announced they did receive additional Low Income Energy Assistance Program (LIEAP) funds of just below $100,000.00 and will be taking applications for assistance through the end of March.

Mrs. Clayton entertained questions and comments from the board.

Health Department Updates

A. FY18-19 Expenditures & Revenue Report (Accreditation Activity 33.6)

Included in the board members packet is the FY18-19 expenditure and revenue report through January 2019. Mr. Jenkins asked if there were any questions from board members and there were none.

B. Activities Summary - Health Department, Jan 2019

Included in the board member's packet is the Activities Summary Report through January 2019. Mr. Jenkins pointed out that adult health services numbers were still very strong and attributes this to the community health grant we received.

There were no questions from the board.

Consolidated Human Services Updates

Mr. Jenkins reminded board members of the budget committee meeting which is April 5th at 9:00 a.m. in the Health Department conference room.

Adoption of Consent Agenda

A motion was made by Dr. James Marshall with a second by Beth Thomas to accept and approve the consent agenda as presented. Motion carried unanimously.

A. Consolidated Health and Human Services Meeting Minutes - 2/07/19

B. Budget Amendment - Maternal/Child Health Block Grant

Public Comments

There were no general public members in attendance requesting to speak to the board.

8.A.a

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MARCH 7, 2019

Consolidated Health and Human Services Board Regular Meeting

Page 4 of 4

Adjournment

A motion was made by Dr. Tom Norwood seconded by Dr. James Marshall to adjourn. Motion carried unanimously.

8.A.a

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References

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