Administration
Madison County Health Department
Marshall, North Carolina
Management | Finance
| Environmental Health Program 5707 US Highway 25/70 Suite E, Room 20 Marshall, NC 28753 (828) 649-9598 fax (828) 649-9370 Dental Center |
Health department administration consists of the
- Health Director
- Administrative and Clerical Support
- Accounting
- Technology
Administration is responsible for all management functions that support the clinical, community and environmental health services. It is the administration’s responsibility to implement public health policies set by the Board of Health which is appointed by the Madison County Board of Commissioners. Administration also carries out the responsibilities required by Madison County Government such as personnel actions and budgetary and finance.
Management Team
| Carolyn Moser | Health Director |
| Diana Rogers | Nurse Supervisor |
| Jamie List | Environmental Health Coordinator |
| Beth Cody | Accounting Officer |
| Megan Williams | WIC Director |
| Dr. Steve McHatton | Dental Director |
Finance and Purchasing
The Madison County Board of Health adopts an annual budget for the health department. Recommendations are made to the County Manager and the Board of Commissioners who ultimately approve the budget. The health department manages all expenditures according to state mandates and policies/procedures set by the county Finance Office and County Administration. Any prospective vendor must call for an appointment
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Directions to the Madison County Health Department (828) 649-3531
From Asheville, take future Interstate I-26/Highway 19-23 North to exit 19A. Follow exit 19A toward Marshall/Highway 25-70 West. Take Highway 25-70 for 9 miles to ramp exiting to Highway 213/Mars Hill. At the stop sign at the end of the ramp, Medical Park Drive is directly across the intersection. Follow Medical Park Drive to the top of the hill. Building is on the right.
From Mars Hill, take Highway 213 toward Marshall. Remain on 213 for approximately 8 miles. At the intersection for Highway 25-70 on the right, Medical Park Drive will be on the left. Follow Medical Park Drive to the top of the hill. Building is on the right.
From Marshall, Hot Springs, take Highway 25-70 East toward Asheville. Take Mars Hill exit to Highway 213. At the stop sign, turn left. Medical Park Drive will be on the right. Follow Medical Park Drive to the top of the hill. Building is on the right.
Madison County Board of Health
The role of the Madison County Board of Health is to promote the health of the community, establish public health policy and serve as an advocate for all Madison County residents.
The Madison County Board of Commissioners appoints members from the community for a 3-year term of service and there is a representative from the Board of Commissioners that is appointed. Members may serve three consecutive terms. Specific professions are required by General Statutes to be members of the Board of Health. These include four public citizens, a county commissioner, and:
- Physician
- Dentist
- Nurse
- Pharmacist
- Veterinarian
- Engineer
The Madison County Board of Health meets quarterly. Notices of the meetings are posted on the health department website and with county administration.
Current Board of Health Members
Pat Franklin, Chair
Dr. Meg Pressley, Vice-Chair
Eddie Fox, Commissioner
Dr. Michelle Chandley
Dr. Robert Adams
Rhonda Hensley
Dr. John Hough
Dr. F.B. Jones
Jane Maney
Tony Payne
Mark Snelson
Dr. Marianna Daly, Medical Director (ex-officio)
BOH Report
Health Department Update for Madison County Board of Health Members
June 2009
Director’s Report
As I reflected on the current “happenings” at the health department, clearly a Board of Health Report was in order. Often, the regular agenda for quarterly board meetings contains informational items that could be shared through a report such as this. In our busy schedule we forget the great things going on at the health department, so this is a way to keep members up to date. As you read this report, feel free to contact me for questions or concerns.
Carolyn Moser
Accreditation
We survived!! Thanks to everyone on the board, the staff, and most importantly, to Jan Lounsbury, our leader in this process. We were notified in writing on May 27, 2009, that we met 100% of the activities/benchmarks!! Official notification is scheduled for July 17, 2009, in Raleigh before the full Accreditation Board. A lot of hard work took place over the last 1 ½ years and some things were placed to the side, but we would all agree it was well worth it. The work in not done as re-accreditation will be scheduled in 4 years. At that time, everything from May 8, 2009 (the day after our site visit) through the coming 4 years will be assessed. But for now, will enjoy the moment and encourage you to do the same.
(picture of accreditation team)
New Website For Health Department
Check it out:
www.madisoncountypublichealthnow.com
The site is incomplete with additional information to be added. Thanks to
The Wired Mouse of Asheville who helped put everything together. Sherry Wilde and other health department staff will be trained to update the site so that topics and news can be added immediately.
New Signs, New Roof
The website provides a picture of the health department and the new metal roof. Also, the accreditation site visit photo shows the new health department signage.
BOH Report
Diabetes Education Recognition Program
The Madison County Health Department was notified May 19, 2009, that we have been selected to participate in the Diabetes Education Recognition Program. Deana Stephens and Lisa Payne will lead the program. Diabetes self-management education will be offered to residents. Education includes managing diabetes through the use of medications, diet, exercise, and managing stress. The health department will be recognized as an American Diabetes Association site and eligible for third party reimbursement for the classes.
Telepsychiatry
All the lines have been installed. The video-conferencing equipment is here. Final technical assistance will occur May 29th. Dr. Stephen Buie will begin seeing patients in June as part of this telemedicine project.
Prenatal Classes
Spring and Summer Childbirth Classes are full! Jennifer Selman completed training to be a certified childbirth educator which allows the health department to bill for third-party reimbursement. She is offering 2 sets of classes for any Madison County residents: Monday nights and Saturday mornings. Next sessions are scheduled for the Fall 2009. This has been a much needed service and it is exciting to know it is finally available.
H1N1 (Swine Flu)
In the midst of preparing for the week of accreditation, the Centers for Communicable Disease Control requested distribution of the Strategic National Stockpile. North Carolina received shipment on May 3, 2009 and Jan Lounsbury, Carolyn Moser, Jamie List, Beth Cody, and Sheila Metcalf met at the selected location on May 4th. Items were inventoried and taken to the health department for storage.
Mexico and the United States have identified the majority of H1N1 cases around the world. Although North Carolina reported cases, there were none in Madison County. Staff from North Carolina’s Public Health Preparedness and Response program conducted daily state-wide conference calls to keep health departments and other medical providers informed of the latest information.
There is concern about possible panic related to in the Fall. Health department staff will keep everyone posted.
BOH Report
Self Esteem Classes Offered
Amy Massey and Lisa Payne are providing self esteem classes to all 5th grade girls in the county. Developed by Dove Soap and utilizing some high school students, classes provide girls with information about the meaning of true beauty and the impact media has on the way they perceive themselves. This is a new activity and staff hopes to offer classes each year.
Health Check
After more than a year of concern about the lack of children receiving well child care, the health department will regain the Health Check Coordinator position funded through the Division of Medicaid. Madison was one of the first counties to provide this service in the early 1990s. This is a wonderful opportunity for community outreach and helping to assure children receive the preventive care and immunizations they need. With the addition of this program in July, rates for immunizations should improve drastically as well as increase the child health services offered through the health department. (Note: Local Smart Start funding was impacted this year due to the county’s failure to maintain higher rates for immunizations and well child care visits).
House Bill 2
The state legislature passed House Bill 2, Prohibit Smoking in Certain Public Places”. This bill goes into effect in January 2010 and provides protection from second-hand smoke in restaurants and bars across the state. Environmental health staff will be responsible for complaints and the health director can request individual fines after two complaints. This is a very big step for public health.
Student Interns
The health department continues to serve as a training site for public health rotation of nursing students and others. Each student must complete a project while at the health department. Western Carolina University provides a $500 stipend to the health department for serving as a mentor. Funds must be used to pay for supplies that students may need while on site. Family Nurse Practitioner students from Western Carolina University and East Tennessee University also rotate through the health department and a special thanks goes to Karen Senechal who serves as preceptor
BOH Report
Parenting Classes
The health department has an opportunity to seek funding for two years to provide parenting classes to county residents. A request for proposals will be sent to health departments soon. Madison County rates for documented child abuse and neglect are twice the state average. If funded, we are hopeful this program will help to reduce such alarming statistics.
School Based Health Center
Construction of the school based health center is on-going. The target date for opening is August 17, 2009. Advertisements for center staffing will be published soon. More information to come.
Health Department Staffing
A notice to hire an administrative staff person for Environmental Health has been announced. The closing date for applications and resumes is Friday, June 12th. It is anticipated that there will be several interested individuals. Selected applicants will be required to take a skills test before a hiring decision is made.
Dental Center
The Health and Wellness Trust Fund board will meet on Monday, June 1, 2009, to recommend grant funding requests. We are hopeful funds will be available to offset sliding fee scale dental patients. Thank you letters from patients were provided to the dental committee. You will find those attached to this report.
Resolution
The 2009 Senate Appropriation Special Provision Bill has included language that establishes a Public Health Improvement Plan. This is an attempt to bring Mental Health Reform to Public Health. The plan includes establishment of a flexible spending formula and flexible spending account based upon already received public health funds. This is equal to single stream funding. The systems most likely to be hurt are the smaller, poorer, more rural systems. The plan also establishes another Public Health Task Force to identify core public health functions. North Carolina has set a national example in planning for the future of public health needs and what its functions should be. A resolution opposing this bill has been attached. Please review and contact the health department if you would agree with submission by the board and authorize Pat Franklin to sign it.
The Senate Budget Bill also eliminates funding for Health Department Accreditation which is seen as a national success. The Division of Public Health is pushing to restore this cut.
BOH Reports
The next BOH meeting will be Oct. 1, 2009.
Add:
Dental thank you letters
Resolution