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SEPTEMBER 12, 2011

Catawba County Board of Commissioners Meeting
Monday, September 12, 2011, 7:00 p.m.
Robert E. Hibbitts Meeting Room, 1924 Courthouse
30 North College Avenue, Newton, NC

1. Call to Order

2. Pledge of Allegiance to the Flag

3. Invocation

4. Approval of the minutes from the Regular and Closed Sessions of August 15, 2011

5. Recognition of Special Guests

6. Public Comment for Items Not on the Agenda

7. Presentation:

National Preparedness Month Proclamation. Presented to Karyn Yaussy, Catawba County Emergency Management Coordinator.

8. Appointments.

9. Departmental Reports:

a. Catawba Valley Medical Center.

Reorganization of Catawba Valley Medical Group. Presented by David Boone, Chief Financial Officer, Catawba Valley Medical Center and Brian McGinnis, Director of Catawba Valley Medical Group.

b. Social Services.

Work First County Plan (October 2012-September 2014). Presented by Karen Heffner, Work First Supervisor.

c. Planning, Parks and Development.

North Carolina Finance Agency 2011 Urgent Repair Program. Presented by Jacky Eubanks, Director of Planning, Parks and Development.

d. Tax.

Report and Settlement of 2010 Tax. Presented by Ona Scruggs, Tax Collector.

10. Other Items of Business.

11. Attorneys’ Report.

12. Manager’s Report.

13. Adjournment.

PERSONS WITH DISABILITIES: Individuals needing assistance should contact the County Clerk at 465-8990 within a reasonable time prior to the meeting. Access to the 1924 Courthouse for individuals with disabilities is at the south side (“A” Street). The elevator is located at the north end of the building. Participation in public meetings is without regard to race, creed, religion, national origin, sex, age, color, or disability.

INFOTALK/INTERNET: The Catawba County Telephone Information System will allow you to use your touch tone telephone to obtain current information on Catawba County 24 hours a day. Information is updated on a regular basis. Dial 465-8468 and INFOTALK will direct your questions with easy to understand instructions. Reach Catawba County on the Internet at

There will only be one Board of Commissioners Meeting in September due to County management staff’s attendance at the International County Managers Association’s Annual Conference scheduled for September 18-21, 2011. The October Board of Commissioners Meetings will take place on Monday, October 3, 2011 at 9:30 a.m. and on Monday, October 17, 2011 at 7:00 p.m.

MONDAY, SEPTEMBER 12 , 2011, 7 P.M.

The Catawba County Board of Commissioners will consider a request from the Board of Trustees of Catawba Valley Medical Center for approval of a proposed new business model for the center which is expected to improve the delivery of services to patients and save the Center a significant amount of revenue; and will consider a proposed new Work First Plan for 2012-2014, when the Board meets at 7 p.m. on Monday, September 12, 2011, in the Robert E. Hibbitts Meeting Room of the 1924 Courthouse at 30 North College Avenue in Newton.

The Board will also consider accepting a grant from the North Carolina Housing Finance Agency’s 2011 Urgent Repair Program, which would assist seven low-income households in the county by providing energy efficiency improvements and minor structural repairs. The Board will also receive a report on the settlement of taxes for fiscal year 2010-2011 and adopt a proclamation declaring September as National Preparedness Month in Catawba County.

The Board will issue a proclamation declaring September 2011 as “National Preparedness Month”. The proclamation encourages citizens to prepare their homes, businesses and communities for any type of emergency, from natural disasters to potential terrorist attacks, and encourages participation in preparedness activities suggested by the County and other government agencies such as making a family emergency plan; putting together an emergency supply kit; being prepared to help a neighbor; and working as a team to help keep everyone safe.



The Board will consider a resolution authorizing the organization of Catawba Valley Medical Group, Inc. and the transfer of certain operations of medical clinics to that entity. After many months of study and analysis, Catawba Valley Medical Center (CVMC) has concluded that its physician practices comprising Catawba Valley Medical Group can better serve the people of Catawba County as a separate entity, now and in the future. The reorganization would immediately increase revenues and reduce expenses, allowing the Center to hold down patient fee increases and continue its mission to see all patients, regardless of ability to pay. CVMC’s practices are among the few in the area currently accepting Medicare and Medicaid patients, and those volumes continue to grow.

The new 501(c)(3) corporation would not be subject to the procedural requirements of the Joint Commission, which oversees the accreditation of hospitals and medical centers, but would follow National Committee on Quality Assurance (NCQA) standards, allowing a more practical use of physician and staff time and more focus on patient needs. The NCQA model will provide for a swift transition to practices receiving the Patient-Centered Medical Home designation, further enhancing access for patients and better coordinating their medical needs.

Catawba Valley Medical Group, Inc. will initially include CVMC’s nine primary care practices and a recently-formed cardiology practice. Any additional primary care practices and specialty practices will become part of Catawba Valley Medical Group, Inc. An ad hoc committee of the Board of Trustees of CVMC, consisting of County Commissioner Barbara Beatty, Alan Forshey, MD and Jim Wright was appointed to provide oversight for this project. At a meeting on August 3, 2011, this committee reviewed organizational documents and a recommendation was approved to proceed with this reorganization. Based on this recommendation, the Catawba Valley Medical Center Board of Trustees reviewed the proposal at its August 22, 2011, meeting and resolved to request Board of Commissioners approval of the changes.

If approved, the reorganization will be effective on October 1, 2011. Adoption of the resolution authorizing the organization of Catawba Valley Medical Group, Inc. and the transfer of certain operations of medical clinics to that entity by the Board of Commissioners is recommended by the Board’s Policy and Public Works Subcommittee.

The Board will consider a proposed Work First Plan for 2012-2014 for submission to the North Carolina Department of Human Resources. In 1996, Congress ended the national welfare program known as AFDC (Aid to Families with Dependent Children) and crafted legislation allowing states to implement their own welfare programs. This devolution of authority enabled the North Carolina General Assembly to go even further with welfare reform. The Legislature took the next step; allowing counties to compete for “Electing County” status – in essence, offering a limited number of counties the opportunity to have greater control over local welfare policies, as well as greater control over available funding.

On July 11, 2011, the Board voted to pursue “Electing County” status and appointed a committee to assist in development of the County’s Work First Plan. The plan was available for public review and comments at the Department of Social Services, the Social Services web page and Employment Security Commission from August 8, 2011 to August 12, 2011.

The philosophy of the Work First Plan incorporates quality values and organizational standards that reflect respect for the worth and dignity of each and every citizen. Catawba County’s plan takes personal responsibility to the next level, as well as modeling the plan after the ‘real world of work.’ It is the County’s plan to have long-term successful family and child well-being outcomes for the entire Work First population.

“Electing County” status continues to be preferred for Catawba County, as it allows greater flexibility in program administration and the possibility to be financially advantageous, although it will be less advantageous than in past years.

Changes proposed in the 2012-2014 Plan include:

• When child welfare/social services (must have been placed by Social Services) places a child(ren) with their 2nd cousin – the 2nd cousin can apply and receive for Work First for the child(ren).

• Applicant must be receiving Food Assistance or be evaluated for Food Assistance within 12 calendar days of applying for Work First Food Assistance (WFFA). If the applicant fails or refuses to do so without good cause, deny the application for WFFA and notify the Medicaid worker (applicants must apply for Medicaid before applying for WFFA).

• The 60-month time limit will apply to the ‘child only’ cases where the parent is in the home and is not included in the grant due to being undocumented. The 60-month time limit is a cumulative total and includes the month in which TANF assistance was received in other states. The 60-month time limit began in January 1997 in North Carolina and that is the date that will be used for these cases. A notice will be sent to families this will impact. Catawba County will develop a manual tracking system for these cases.

• For all payment type 1 cases, compliance with each element on the Mutual Responsibility Agreement – (MRA-A Core requirements) must be evaluated monthly. If the family is not in compliance with all of the provisions and does not have good cause for non-compliance, the case will be terminated adequately and the case will be transferred to Medicaid. A re-application will be required before the family may receive WFFA again.

• All reviews will be completed within a range of 6 to 9 months.

• Applicants and recipients will sign a signature page instead of having to sign each individual form.

• All mandatory employment cases will be drug tested. If the recipient fails the drug test, he/she must cooperate with substance abuse treatment or will be out of compliance with their MRA.

On August 16, 2011, the Catawba County Social Services Board approved the Work First Electing Plan. Adoption of the Work First Plan for 2012-14 is recommended by the Board of Commissioners’ Policy and Public Works Subcommittee.

The Board will consider approval of an Assistance Policy and a Disbursement Policy for the Catawba County 2011 Urgent Repair Program. The North Carolina Housing Finance Agency awarded Catawba County a 2011 Urgent Repair Program Grant in the amount of $37,500. The Program will assist approximately seven low-income households by providing energy efficiency improvements and minor structural repairs. The Western Piedmont Council Of Governments will provide day-to-day management of the program, with administration oversight provided by the County’s Planning Department.

In accordance with North Carolina General Statutes, the Board will be asked to approve the Fiscal Report and Settlement of 2010 taxes for the fiscal year beginning July 1, 2010 and ending June 30, 2011. The report is expected to reflect that $77,216,606 (97.27%) in real estate and personal property tax has been collected as of June 30, 2011, with $2,167,872 outstanding in real estate and personal property tax.