THE BOARD OF
COUNTY COMMISSIONERS
DURHAM, NORTH
CAROLINA
Tuesday, September 7, 2004
1:30 P.M. Worksession
AGENDA
1. Introduction
of New Duke University President and Duke University Health System Chancellor,
President, and Chief Executive Officer
20
min.
Ms. MaryAnn Black, Associate Vice
President for Community Relations, Duke University Health System, will
introduce the Board of County Commissioners to President Richard H. Brodhead,
President of Duke University, and Dr. Victor J. Dzau,
Chancellor for Health Affairs and President and Chief Executive Officer of the
Duke University Health System. President
Brodhead and Dr. Dzau will make some brief
introductory remarks and answer any questions Board members may have.
2. Durham Civic Center Authority Update
10 min.
The Board of County Commissioners is
requested to receive an update on the Durham Civic Center Authority, the
seven-member board appointed by the City and the County to oversee and monitor
the Civic Center facility and operations. The Commissioners will be introduced to the
Authority?s new Chairman, Mr. Rod Abraham.
The purpose of the presentation is to inform the Commissioners of the
future goals and direction of the Authority, as well as to seek further support
from the County as the Authority moves forward in its duties on behalf of the
City and County.
3. Time
Warner Cable?Results of Survey
45 min.
Durham County retained Action Audits, LLC, to
conduct a future cable-related needs assessment and associated franchise
renewal services. Action Audits was
hired to incorporate a mail survey into Durham
County?s needs assessment to collect
valid data regarding community cable?related needs and interests of Durham County,
including opinions on customer service, future technologies, and positions on
government, educational, and public access programming. The mail survey will enhance compliance with
requirements of the Cable Act and maximize Durham County?s
options under the law. The Cable Act
requires public participation in the renewal process.
The needs assessment survey was
mailed to 8,000 randomly-selected households drawn from the County?s tax
database. 1,173 surveys were returned,
which generated a high response rate of 15%, producing a 99% confidence
internal with a sampling error of only +-1.5%.
Action Audits will discuss the
survey results with the Board of Commissioners.
4. Substance Abuse
Treatment Analysis and Planning Report for Durham County
30 min.
To address the need for designing the
substance abuse treatment system for Durham
County, The Durham Center
enlisted the assistance of Durham Health Partners, a private local nonprofit
health planning organization, and the Technical Assistance
Collaborative Inc. (TAC) to provide expertise on service system analysis and
design. TAC is a nonprofit national
organization that works to achieve positive outcomes on behalf of people with
disabilities or other special needs by providing state-of-the-art information,
capacity building, and technical expertise to organizations and policy makers
in the areas of mental health, substance abuse, developmental disabilities,
human services, and affordable housing.
The project requirements included:
·
an
analysis of the current community situation related to substance abuse
treatment services for all populations in Durham County, not simply those
targeted by The Durham Center?s mandate; and
·
specifications
for an ideal treatment system that:
o
adheres
to state requirements and ?best practices";
o
addresses
needs in a ?continuum of care" for substance abuse; and
o
recognizes ASAM levels of care and best practices as identified in the
state plan, the Center for Substance Abuse Treatment (CSAT), and the Treatment
Improvement Protocols (TIPs) issued by CSAT.
A situation analysis involved:
·
the
establishment of a ?steering" group representative of key local stakeholders;
·
a
SWOT analysis;
·
patient
and staff focus groups; and
·
over 35 interviews with health care and substance abuse providers, community
and political leaders, citizens, law enforcement, schools, and faith based
organizations.
The process was designed to identify
and evaluate what is currently in place, how programs interface, assess
incidence and prevalence data, document best practice, assess how clients
access substance abuse services, and recommend strategic actions within the
context of public policy.
The report
concludes with the following Summary of Recommendations for Durham County
Services and Programs:
·
develop
comprehensive outpatient treatment programs (equivalent to the ASAM Level II.5)
criteria;
·
create
a residential capacity for both adults and adolescents;
·
support,
enhance, and solicit new addiction treatment providers to enhance the gaps in
the exiting service continuum for the service area;
·
ensure
all existing crisis center/intake points have Certified Substance Abuse
Professionals assigned to the crisis assessment service to ensure accurate
assessment, diagnosis, and appropriate placement of all substance related
conditions;
·
ensure
that clients admitted for services within the continuum of care meet the target
population requirements as outlined by state and federal requirements for
public funding; and
·
develop and enhance relationships with the self-help community to
ensure effective peer and family support for recovering clients.
5. Discussion of Possible Statewide
Legislative Issues for NCACC
25
min.
The North Carolina Association of
County Commissioners is asking local governments to submit a list of statewide
legislative initiatives for possible inclusion in the organization?s 2005
Legislative Goals. Staff has polled
department heads for potential legislative items. Following the Board?s direction to staff, a
final list will be provided to the North Carolina Association of County
Commissioners. The deadline is
September 15.
Resource Person(s): Deborah Craig-Ray, Public
Information and Governmental Affairs Director, and County Attorney
Chuck Kitchen
County Manager?s Recommendation: The Manager recommends that the
Board discuss and direct staff regarding the 2005 Statewide Legislative Issues.
6. Review
Interlocal Cooperation Agreement for the Collection
of Taxes between Durham County and the City of Durham
15
min.
Review the interlocal
agreement for property tax collections.
7. Health Insurance, Dental Insurance, Long
Term Care Insurance for 2005
60
min.
The Human Resources
Department has received the proposals for health, dental, and long-term care
insurance plans for the 2005 benefits year.
All rates and plans would be effective January 1, 2005. The RFP process objective was to offer
employees options for lower monthly premiums for families. Proposals have been received from three
vendors for health insurance, six vendors for dental insurance, one vendor for
stand-alone vision coverage, and one vendor for long-term care insurance. Renewal rates were submitted with increases
from 15% (Wellpath) to 34% (CIGNA). Proposals were submitted for a self-insured
health plan.
8. Closed
Session
20
min.
The Board of County Commissioners is
requested to adjourn to closed session pursuant to G.S. 143.318.11(a)(6) to consider the competence, performance, or fitness of
a public officer or employee.
