Roles and Responsibilities of Local Public Health Governing Boards in North Carolina

Fee:None
Length: 2 hours and 40 minutes
Description:

This training module, which is made up of three sections, provides an introduction to the key roles and responsibilities that local boards of health are charged with as the "the policy-making, rule-making and adjudicatory body for a county health department."

The first section of the module provides an overview of the milestones in public health and the current challenges facing public health; finally, it discusses the relationship between the work of local boards of health and the core functions and ten essential services of public health.

The second section focuses on the legal responsibilities and authority of public health in North Carolina and reviews the roles and responsibilities of local health departments, health directors and boards of health as defined by public health law.

The third section will provide a better understanding the role of a member of a board of health, the challenges of governance and how to govern more effectively.

The recommended prerequisite for all new public health governing board members is Introduction to Public Health in North Carolina. For additional training and supplemental learning, please visit the Boards of Health Training Offerings website.

To Access and Complete This Training:

To create a login ID and password for the NCIPH Training Website, click on the Create An Account link. If you have previously created an account, click on the Login to Training Link. Please read over the information on this page first.

This training is provided through funding from the Local Technical Assistance & Training Branch within the NC Division of Public Health and meets NC Local Health Department Accreditation program requirements regarding orientation of new board of health members. This training is also available in an in-person format. Please visit the Boards of Health Training Offerings website for more details.

Learning Objectives

Training Personnel

Authors:

Jill Moore, MPH, JD

Tanya Montoya, MPH, MCHES

Narrator:

Rachel Wilfert, MD, MPH, CPH

NCIPH Reviewers:

Tanya Montoya, MPH, MCHES

Rachel Wilfert, MD, MPH, CPH

Linette Kinnaman, BS

Kasey Decosimo, MPH

Subject Matter Expert Reviewer:

Jill Moore, MPH, JD

The author(s) and reviewer(s) of this training have no personal financial relationships with commercial interests relevant to this presentation to disclose. Author, narrator, reviewer affiliations listed were current at the time of training development.

Competencies and Capability Functions Addressed

This training addresses selected applied epidemiology, core public health, and public health preparedness and response competencies and public health preparedness capability functions as noted below. (Please note: The following training does not provide comprehensive or in-depth treatment of specified competencies or capability functions, it provides basic knowledge of the competencies or capability functions listed below.)

Core Competencies for Public Health Professionals Tier 1
2A8. Implements policies, programs, and services (2: Policy Development/Program Planning Skills)
Core Competencies for Public Health Professionals Tier 2
2B9. Implements policies, programs, and services (2: Policy Development/Program Planning Skills)

References

[View References]

North Carolina General Statutes. Available at http://www.ncleg.net/gascripts/statutes/Statutes.asp

  • G.S. § Chapter 130A: Public Health Code
  • G.S. § 130A-1.1. Mission and essential services.
  • G.S. § 130A-34. Provision of local public health services.
  • G.S. § 130A-35. County board of health; appointment; terms.
  • G.S. § 130A-37. District board of health.
  • G.S. § 130A-39. Powers and duties of a local board of health.
  • G.S. 130A-40. Appointment of local health director.
  • G.S. § 130A-41. Powers and duties of local health director.
  • G.S. § Chapter 130A: Public Health Code.
  • Part 1B. Public Health Authorities Authorized.
  • G.S. § 130A-45. Title and purpose.
  • G.S. § 130A-45.1. Membership of the public health authority board.
  • G.S. § 130A-45.4. Appointment of a public health authority director.
  • G.S. § 130A-45.5. Powers and duties of a public health authority director.
  • G.S. § Chapter 143: State Departments, Institutions, and Commissions.
  • Article 33C. Meetings of Public Bodies.
  • G.S. § 143-318.9. Public policy.
  • G.S. § Chapter 153A: Counties
  • G.S. § 153A-77. Authority of boards of commissioners over commissions, boards, agencies, etc.

North Carolina Administrative Code http://reports.oah.state.nc.us/ncac.asp

  • 10A N.C.A.C. 46.0201. Mandated Services.
  • 10A N.C.A.C. 48B.1306. Benchmark 39.
  • 15A N.C.A.C. 18: Environmental Quality, Environmental Health

North Carolina Court Cases

  • Craig v. County of Chatham, 356 N.C. 40 (2002).
  • City of Roanoke Rapids v. Peedin, 124 N.C. App. 578 (1996).

Centers for Disease Control and Prevention (CDC). Ten great public health achievements - United States, 1900-1999. MMWR. 1999;48(12):241-243.

CDC. The 10 essential public health services: an overview. Centers for Disease Control and Prevention website. http://www.cdc.gov/nphpsp/documents/essential-phs.pdf. Accessed September 12, 2016.

CDC. Motor Vehicle Crash Deaths. Available at http://www.cdc.gov/vitalsigns/motor-vehicle-safety/index.html Accessed October 20, 2016.

Institute of Medicine (IOM), Committee for the Study of the Future of Public Health, Division of Health Care Services. The Future of Public Health. Washington D.C.: National Academy Press; 1988.

IOM, Committee on Assuring the Health of the Public in the 21st Century, Board on Health Promotion and Disease Prevention. The Future of the Public's Health in the 21st Century. Washington D.C.: National Academy Press;2003.

Koplan JP and Fleming DW. Current and future public health challenges. JAMA. 2000;284(13): 1696-1698.

Moore, Jill D. Public Health, in County and Municipal Government in North Carolina, 2d ed. (Frayda Bluestein, ed.). UNC School of Government (2014).

Moore, Jill D.; Berner, Maureen M.; Wall, Aimee N. FAQ Collections: Key Players in NC Local Public Health: Local Boards of Health https://www.sog.unc.edu/resources/faq-collections/key-players-nc-local-public-health-local-boards-health. Accessed September 12, 2016.

NC Institute of Public Health (NCIPH). Some material adapted from trainings series available on the NCIPH Training website. Introduction to Public Health in North Carolina; and the North Carolina Board of Health Rulemaking Authority; Accessed September 12, 2016.

Public health functions steering committee. Public health in America. 1994.

Sauber-Schatz EK, Ederer DJ, Dellinger AM, Baldwin GT. Vital Signs: Motor Vehicle Injury Prevention - United States and 19 Comparison Countries. MMWR Morb Mortal Wkly Rep 2016;65. DOI: http://dx.doi.org/10.15585/mmwr.mm6526e1

Upshaw, Vaughn. Essential Responsibilities of Local Governing Boards. https://www.sog.unc.edu/sites/www.sog.unc.edu/files/articles/article2_6.pdf. Popular Government. 2006. Accessed September 12, 2016.

Wall, Aimee. The Rulemaking Authority of North Carolina Local Boards of Health. https://www.sog.unc.edu/sites/www.sog.unc.edu/files/reports/hlb81_1.pdf. Health Law. 2003. Accessed September 12, 2016.

UNC School of Government. North Carolina Public Health Law Website. www.ncphlaw.unc.edu. Accessed September 12, 2016.

To Access and Complete This Training:

To create a login ID and password for the NCIPH Training Website, click on the Create An Account link. If you have previously created an account, click on the Login to Training Link. Please read over the information on this page first.