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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; <br />