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<br />August 20, 2005 - Recessed Meeting/Retreat <br /> <br />Page <br /> <br />313 <br /> <br />The Board of Commissioners for the County of Cabarrus met in recessed <br />session in the Helms Dining Hall at Camp T. N. Spencer, 3155 Rimer Road, <br />Concord, North Carolina, on Saturday, August 20, 2005, at 9:00 a.m. <br /> <br />Present - Chairman: Carolyn B. Carpenter <br />Vice Chairman: Robert W. Carruth <br />Commissioners: Robert M. Freeman <br />Joni D. Juba <br />Coy C. Privette <br /> <br />Also present were John D. <br />County Manager for Operations; <br />Administration; Frankie F. Bonds, <br />Public Information Officer. <br /> <br />Day, County Manager; <br />Pam Dubois, Deputy <br />Clerk to the Board; <br /> <br />Mike Downs, Deputy <br />County Manager for <br />and Aimee Hawkins, <br /> <br />Phil Boyle of Leading and Governing Associates served as facilitator. <br /> <br />Chairman Carpenter called the meeting to order at 9:05 a.m. <br /> <br />Cross-Cutting Issues <br /> <br />Facilitator <br />health, education <br />issues: <br /> <br />Phil Boyle <br />and human <br /> <br />led the Board in <br />service issues and <br /> <br />identifying the following <br />driving forces behind the <br /> <br />. Population growth, diversity and aging <br />. Poverty and working poor <br />. Child abuse and neglect <br />. Increasing social responsibilities placed on schools <br />. Graduation and dropout rates <br />. Economic shift from industry/manufacturing to service/retail <br />. Family stability; High service costs relative to outcomes <br />. Disabilities and chronic health problems <br />. Lack of alternatives to long-term, expensive institutional care <br />. Reduced state/federal responsibility and funding <br />. Increasing state and federal mandates/unfunded mandates <br />. Substance abuse/addictions <br />. Stable employment <br />. English proficiency <br />. Poor physical/dental health <br />. Crime/arrest records <br />. Achievement gaps <br /> <br />The Board then identified the following indicators and outcomes: <br /> <br /> <br />. Increased independent living/reduced dependency <br />. Improved communication/integration of service delivery <br />. Increased local funding/service flexibility <br />. Greater return on investment <br />. Improved inter-county and regional service delivery <br />. Reduced legal/regulatory barriers to community-wide coordination <br />. Reduced incidence/impact of chronic health problems and disease <br />. Improved access to services <br />. Reduced underutilization of services and reduced chronic/ <br />recidivistic over utilization; <br />. Reduced negative indicators and spillover, e.g. dropout rates <br />and negative impact on economy and social order; <br />. Increased economic opportunity and living wage jobs to reduce <br />dependence and chronic negative living conditions <br />. Improved nutrition and health <br />. Improved continuity and coordination of care <br />. Increase proactive and preventive approaches to services <br />. Improved functional literacy <br />. Cost-effective alternatives to institutional care <br /> <br />Mr. Boyle drafted the following purpose and goals statement for the <br />Board's consideration. <br /> <br />A changing economy, a growing and diversifying population, and <br />increasing state and federal pullback of responsibility and <br />funding have combined to increase the cost and demand for health, <br />