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April 2, 2012 (Work Session) Page 1006
<br />The Board of Commissioners for the County of Cabarrus met for an Agenda
<br />Work Session in the Multipurpose Room at the Cabarrus County Governmental
<br />Center in Concord, North Carolina on Monday, April 2, 2012 at 4:00 p.m.
<br />Present - Chairman: Elizabeth F. Poole
<br />Vice Chairman Larry M. Burrage
<br />Commissioners: Robert W. Carruth
<br />Christopher A. Measmer
<br />H. Jay White, Sr.
<br />Also present were Mike Downs, County Manager; Richard Koch, County
<br />Attorney; Pam Dubois, Deputy County Manager and Kay Honeycutt, Clerk to the
<br />Board.
<br />Commissioner Carruth was not present when the meeting was called to
<br />order. He arrived at 4:26 p.m. and was present for the remainder of the
<br />meeting.
<br />Call to Order
<br />Chairman Poole called the meeting to order at 4:00 p.m.
<br />ADDroval of Agenda
<br />UPON MOTION of Commissioner Measmer, seconded by Vice Chairman Burrage
<br />and unanimously carried, the Board approved the agenda as presented.
<br />Chairman Poole announced Commissioner Carruth is running late and will
<br />arrive shortly and Item 4 -1 "Departmental Overview - Cabarrus Health
<br />Alliance" will be moved to the beginning to accommodate travel arrangements.
<br />Departmental Overview - Cabarrus Health Alliance
<br />Chairman Poole announced the Board has invited various departments
<br />and /or agencies to present an overview of their budgets and services during
<br />work sessions held prior to the May budget meetings.
<br />Charles Phillips, Cabarrus Health Alliance (CHA) Board Chair, Dr.
<br />Russell Suda, CHA Medical Director and Obstetrician and Gynecologist, Dr.
<br />Linny Baker, CHA Pediatrician and Dr. Phred Pilkington, CHA Director
<br />addressed the Board. They provided information on the services provided by
<br />the CHA in their respective areas of expertise, including county - provided
<br />funding, national rankings, cost savings attributed to prenatal care,
<br />childhood obesity, preventive treatment, indigent care, etc. It was noted
<br />that a reduction in funding for rent, clinical services, etc., is
<br />unsustainable and will result in a reduction in services, such as the school
<br />nurse program. Continuation of current funding was requested.
<br />Commissioner Carruth arrived at 4:26 p.m. and was present for the
<br />remainder of the meeting.
<br />A lengthy discussion ensued with Mr. Phillips, Dr. Suda, Dr. Baker and
<br />Dr. Pilkington responding to a variety of questions from the Board. Issues
<br />addressed during discussion included the following: consequences of
<br />eliminating clinical services and its impact on future costs for the county,
<br />the profitability of the local hospital, amount of funding the local hospital
<br />provides the CHA, impact of the Healthcare Reform Act on the CHA, CHA's
<br />takeover of management services for the Community Care Clinic in
<br />approximately 16 months, mandated vs. non - mandated services, school nurse
<br />program, TIF (Tax Increment Financing) funds were used to construct CHA's new
<br />facility, county- funded programs, restaurant inspections, the need for
<br />additional health inspectors, rent costs, utility costs, population growth,
<br />health insurance for part -time nurses, etc.
<br />Chairman Poole requested additional information on building maintenance
<br />costs for the CHA, including rent, utilities, etc.
<br />No action was taken.
<br />Discussion Items - No Action
<br />Update on CCS and KCS QSCB (Qualified School Construction Bonds) Projects
<br />With regard to the QSCB projects for KCS (Kannapolis City Schools),
<br />Will Crabtree reported the bids for chillers at A.L. Brown High School and
<br />control work at several elementary schools came in significantly over budget;
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