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303 <br /> <br /> The Board of Commissioners for the County of Cabarrus met in recessed <br />session in the Multi-Purpose Room at the Cabarrus County Governmental Center in <br />Concord, North Carolina, on Thursday, September 12, 1991, at 7:00 P.M. <br /> Present - Chairman: Billy J. Simmons, Jr. <br /> Commissioners: Carolyn B. Carpenter <br /> William G. Hamby,' Jr. <br /> Absent - Commissioners: Jeffrey L. Barnhart <br /> Kenneth F. Payne <br /> Also present were Mr. Fletcher L. Hartsell, Jr., County Attorney, and Mrs. <br />Frankie F. Bonds, Clerk to the Board. <br /> The following members of the Cabarrus County Health Board were present for <br />a joint meeting with the Board of Commissioners: Chairman John Lentz and Members <br />Goldia Cruse, Vernon Russell, Bob Dayvault, Herb Smith, David Mashburn, and Alex <br />Rankin. Also present were the following members of the Health Department staff: <br />Dr. William F. Pilkington, Director; ValerieWhitlock, Director of Nursing; Rick <br />Payne, Recycling Coordinator; Cindy Walker, Allied Health Supervisor; Jan Bryant, <br />Chief Animal Control Officer; and Frances Taylor, Administrative Services <br />Supervisor. <br /> After dinner, Chairman Simmons called the meeting to order at 7:40 P.M. <br />He stated the purpose of the joint meeting was to discuss the goals and needs <br />of Public Health in Cabarrus County. <br /> Health Board Chairman Lentz presented the recently published Health <br />Department Annual Report for 1990 which outlined the increase in the number of <br />patients served in its clinics as well as the success of many of the Public <br />Health programs. For example, Mr. Lentz pointed out that the Child Health, <br />Family Planning, and Maternity Clinics increased 47 percent during the five- <br />year period 1986-91. In reviewing the growth of the clinics, Mr. Lentz stressed <br />the need for a new facility to help ease the overcrowded conditions at the Health <br />Department. He also briefly reviewed the Health Department's budget and the <br />increase in funding, the success of the new full-time staff physician, the School <br />Health Program and the need for additional school nurses in the county, the <br />Family Planning Outreach Program for teens in the Logan Community, the Leap into <br />Life Program, the Car Seat Loaner Program, the AIDS Information Program, and the <br />Recycling Program. <br /> Chairman Simmons questioned Health Board members as to Public Health's <br />greatest need in Cabarrus County. Responses included the need for more <br />preventive measures such as an increase in health education along with the need <br />for additional staff, a larger facility, and automation in records-keeping to <br />handle the increased patient caseload. Members noted that the great increase <br />in treatment services during recent years had placed a large amount of stress <br />on both the staff and facility. <br /> During review of the current space needs, the members discussed the <br />possibility of a "one stop shopping" or a campus type concept for all human <br />service programs in the county. Dr. Herb Smith, Chairman of the Human Services <br />Committee, reported that his committee was studying that type of service but at <br />this time he was unsure of the committee's future recommendation. <br /> Mr. Lentz requested direction from the Board of Commissioners in preparing <br />revenue estimates for future Public Health budgets. Chairman Simmons stated in <br />his opinion it was good to be conservative in estimating revenues but the Health <br />Board should include the revenue funds in the budget if it believes that the <br />money is going to be received. In addition, Chairman Simmons reviewed the <br />expected increase in the current $33 million in annual tax revenues as well as <br />the expected increase in the current $19 million in annual payroll costs over <br />the next five years. According to Chairman Simmons, this tax revenue would <br />amount to the availability of approximately $400,000.00 to $500,000.00 per year <br />in discretionary funds for use by the County. He explained that the Board is <br />in the process of preparing a Revenue/Expense forecast in order to determine how <br />much money to allow for growth and to assist the Board in meeting the numerous <br />capital improvement needs such as those for Public Health, Schools, and Social <br />Services. Chairman Simmons also informed the Health Board that the County would <br />project the tax revenue for the next fiscal year and would advise them of <br />available funds prior to the start of the budget process for 1992-1993. <br /> The Board discussed the Animal Shelter and the need for a new facility in <br />a more accessible location. Chairman Simmons proposed that the County sponsor <br />a matching funds program as an incentive for the public to raise funds for the <br />construction of a new facility. Health Board members were receptive to this <br />proposal and Mr. Alex Rankin volunteered to meet with interested individuals to <br />develop plans for a new facility and to discuss the implementation of the <br />matching funds program. Chairman Simmons also suggested that the Health Board <br />look at such alternate means for raising revenue for the Animal Shelter as an <br /> <br /> <br />