January 5, 2009 - 10:00 AM - County Board of Commissioners Meeting Minutes

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10 159 Meeting of the Johnston County Board of Commissioners January 5 , 2009 10 00 am The Johnston County Board of Commissioners met in regular session Monday , January 5 , 2009 at 10 00 am in the Commissioners Meeting Room , Johnston County Courthouse Annex , Smithfield , North Carolina The following members were present Present Wade M Stewart , Chairman , Allen L Mims , Jr , Vice Chairman , Cookie Pope , Jeffrey P Carver , W Ray Woodall , DeVan Barbour , and Tony Braswell Absent None Also Present Rick J Hester , County Manager , Paula G Woodard , Clerk to the Board , J Chad McLamb , Finance Officer , J Mark Payne , County Attorney , and Melissa A Daughtry , Paralegal Deputy Clerk Chairman Wade M Stewart called the meeting to order at 10 00 am Chairman Stewart asked everyone to remember the family of former Johnston County Commissioner Freddie Adams who passed away over the week - end Chairman Stewart recalled that Mr Adams served as a Commissioner from 1968 until 1976 and his service to the County was sincerely appreciated Commissioner Tony Braswell led those in attendance in the pledge of allegiance to the American flag Commissioner W Ray Woodall opened the meeting with a prayer 1 Approval Discussion of Agenda Upon a motion by Commissioner Cookie Pope , seconded by Commissioner W Ray Woodall , and carried by unanimous vote , the Board approved the agenda as presented 2 Consent Agenda Items Upon a motion by Commissioner Allen L Mims , Jr , seconded by Commissioner Cookie Pope , and carried by unanimous vote , the Board approved the consent agenda items as follows A Approval of Minutes – December 1 , 2008 10 00 am and 6 00 pm B Town of Clayton – Appointments to Planning & Zoning Board and Board of Adjustment The Board made the following appointments to represent the ETJ area of the Town of Clayton Planning & Zoning Board Franklin R Price term to expire 12 31 2011 Board of Adjustment Donna M White term to expire 12 31 2011 C Tax Releases & Refunds – 11 16 2008 – 12 15 2008 Motor Vehicle Release Refund Report Name Year Bill # Acct # Tran Type Paid MCLAMB , WILLIAM KEITH 2008 0808 - 806097 0805 - 917566 Release 26080 THOMPSON , DANESE ADAMSON 2008 0808 - 807042 0805 - 918542 Overpayment 18634 DONEGAL GROUP INC 2008 0811 - 844412 0808 - 961377 Release 16247 TEMPLE , ROGER PATTON 2008 0808 - 808243 0805 - 916417 Release 10971 LUTER , BRET THOMAS 2008 0811 - 847662 0808 - 964037 Release 12726 TUCKER , JOHN DAVID 2008 0807 - 797403 0804 - 900947 Release 13709 SMITH , DEREK CUYLER 2008 0810 - 831868 0807 - 943461 Tag Surrender 13908 JOHNSON , JAMIE SHAY 2008 0811 - 853332 0808 - 964233 Release 13571 MTM TRANSPORTATION , INC 2008 0811 - 851800 0808 - 963417 Overpayment 23280 THE CRYSTAL GROUP LLC 2008 0810 - 837081 0807 - 946328 Release 33500 BELL , TROY L 2008 0811 - 844446 0808 - 962633 Release 22015 LEE , JR , RONALD WENDELL 2008 0811 - 845498 0808 - 960639 Release 19527 LEE , JR , RONALD WENDELL 2008 0811 - 845497 0808 - 959468 Release 11625 PROVIDENT AUTO LEASING CO 2007 0805 - 771080 0802 - 868224 Tag Surrender 10241 MADISON , KATRINA ANN 2008 0808 - 810533 0805 - 919494 Release 12858 Page160 January 5 , 2009 – 10 00 am Continued LEVICK , TERESA WITECK 2007 0806 - 783564 0803 - 883873 Release 10655 SAWBERGER , RACHEL GOODING 2008 0811 - 854599 0808 - 964263 Release 15655 LASSITER , JERRY WADE 2008 0807 - 794464 0804 - 901987 Overpayment 13887 BORTNER , LEANNE MAREE 2008 0811 - 856911 0808 - 960003 Release 15875 SHAW , DELOY ANTONIO 2007 0805 - 766599 0802 - 872554 Release 16208 LAREAU , BRIAN EDWARD 2008 0810 - 836725 0807 - 948586 Release 19796 HALES CHAPEL BAPTIST CHURCH 2008 0811 - 857481 0808 - 960463 Release 49641 PRESTON , THOMAS ANDREW 2008 0811 - 851868 0808 - 963651 Release 27191 CLARK , CONSTANCE EVON 2007 0806 - 777849 0803 - 886459 Overpayment 14168 ARCE - GONZALEZ , RAUL 2008 0811 - 857798 0808 - 956263 Release 11911 CASEY , MAX LEE 2008 0811 - 846566 0808 - 960313 Release 10475 CARPENTER , HOLLEY MARIE 2007 0803 - 741073 0712 - 822284 Overpayment 25343 NISSAN - INFINITI LT 2007 0806 - 779277 0803 - 890067 Release 25343 CHRISTENSEN , DAVID JOHANNES 2008 0810 - 831176 0807 - 939286 Release 12325 STEWART , ROBERT DALE 2008 0811 - 856801 0808 - 964675 Release 19966 WEST , ELIZABETH LUKE 2008 0810 - 835009 0807 - 947169 Tag Surrender 11374 WEST , ELIZABETH LUKE 2008 0810 - 835009 0807 - 947169 Release 12908 WILL , ERIC KARL 2008 0811 - 854794 0808 - 961214 Release 20135 NGUYEN , ALEXANDER GREAT 2006 0703 - 590453 0612 - 659531 Overpayment 23137 ADAMS , LINDA PRIDGEN 2008 0810 - 839761 0807 - 939891 Release 12637 WILL , KARLA JOY 2008 0810 - 837164 0807 - 948630 Release 22227 ROYALL , KENNETH RAY 2007 0806 - 785839 0803 - 887514 Overpayment 11394 KEETON , APRIL ROBBINS 2008 0811 - 850514 0808 - 959900 Release 19559 AUSTIN , AMANDA BRITT 2008 0810 - 832253 0807 - 939575 Tag Surrender 10876 BRITT , MARIANNE HODGES 2008 0809 - 827256 0806 - 932119 Overpayment 12176 SCHIRTZINGER , EDWARD WILLIAM 2008 0810 - 836992 0807 - 946570 Release 38107 LLOYDS TRANSMISSION SERVICE 1999 0002 - 665582 9912 - 859313 Overpayment 23811 BURLEY , ROBIN BRYANT 2008 0811 - 857627 0808 - 961466 Release 19246 BARBOURS CUSTOM WOODWORKS 2008 0808 - 803225 0805 - 917516 Tag Surrender 13359 BARBOURS CUSTOM WOODWORKS 2008 0808 - 803225 0805 - 917516 Release 20038 ALLEN , LISA RENEE 2007 0806 - 786163 0803 - 888981 Overpayment 11848 ALLEN , LISA RENEE 2007 0806 - 786163 0803 - 888981 Void Refund 11848 PARKIS , BRETT TOM 2008 0810 - 834202 0807 - 947645 Overpayment 11483 STANLEY , LYNNETTE GODWIN 2007 0806 - 785926 0803 - 885562 Overpayment 22833 MYRICK , LORI DEON 2008 0810 - 834107 0807 - 939894 Release 25237 MESSER , WILLIAM ALTON 2008 0807 - 790694 0804 - 893770 Overpayment 11731 DAVIS , FREIDA ELLIS 2007 0803 - 749276 0712 - 821233 Overpayment 12412 RODRIGUEZ , J FELIX 2007 0806 - 787492 0803 - 882312 Overpayment 14490 JOHNSON , MICHAEL LEVI 2008 0808 - 805719 0805 - 915489 Overpayment 19431 BARBOUR , SCOTT RICHARDSON 2007 0806 - 776173 0803 - 881369 Overpayment 10509 MARLOW , JEAN PEELE 2007 0806 - 788894 0803 - 888106 Overpayment 14461 BIZZELL , JR , LINDSAY RAY 2008 0811 - 850041 0808 - 955674 Overpayment 12708 BULLOCK , JR , JOHN HENRY 2008 0808 - 813321 0805 - 919190 Overpayment 12420 KING , RODNEY JAMES 2008 0811 - 857680 0808 - 961626 Release 28421 CARROLL , SCOTT MATTHEW 2008 0809 - 818740 0806 - 926235 Overpayment 19045 FONTAINE , SUZAN NEEDHAM 2007 0708 - 651983 0705 - 728871 Overpayment 14526 FLETCHER 3RD , RICHARD E A 2008 0810 - 833116 0807 - 946373 Release 12717 BARDWELL , CLIFTON JEROLD 2008 0807 - 791287 0804 - 901895 Overpayment 19008 BRYANT , ANTHONY EDWARD 2008 0809 - 817204 0806 - 931283 Overpayment 24106 REED , SHELBY LEBRON 2008 0809 - 823039 0806 - 932382 Release 23759 LEE , ALISA BENSON 2008 0811 - 853035 0808 - 964781 Release 11270 MCGEE , JUSTUS ARTHUR 2008 0810 - 833938 0807 - 947866 Release 13309 MCGEE , JUSTUS ARTHUR 2007 0804 - 753428 0801 - 836797 Release 10559 MITCHELL , DIANE STRICKLAND 2008 0807 - 797093 0804 - 895982 Overpayment 15103 MORGAN , GERALDINE WILLIAMS 2008 0809 - 830029 0802 - 935386 Release 11378 MITCHELL , DIANE STRICKLAND 2008 0807 - 797093 0804 - 895982 Void Refund 15103 STEWART , KRISTEN MOORE 2008 0809 - 822170 0806 - 930597 Overpayment 15396 SCHUTZ , ALLEN ROY 2008 0809 - 829059 0806 - 927725 Overpayment 14327 BAKER , WILLAIM RAEFORD 2008 0812 - 862610 0809 - 974556 Overpayment 25963 Page161 January 5 , 2009 – 10 00 am Continued LIVINGSTON , WAYNE ANTHONY 2008 0809 - 816821 0806 - 926028 Tag Surrender 11064 BAKER , WILLAIM RAEFORD 2008 0812 - 862610 0809 - 974556 Void Refund 25963 BAKER , WILLIAM RAEFORD 2008 0807 - 794058 0804 - 902231 Overpayment 20820 ESTENOZ , LOURDES ALVAREZ 2008 0811 - 850275 0808 - 963579 Release 17123 TART , DENNIS WAYNE 2008 0811 - 845891 0808 - 962153 Release 10038 LAVENDER , LISA GLOBIG 2008 0808 - 805885 0805 - 913305 Tag Surrender 22411 PRINCE , JR , RICHARD LEWIS 2008 0809 - 826711 0806 - 930632 Overpayment 16186 PAUL , MENCY JOHNSON 2008 0808 - 810806 0805 - 910200 Release 10163 TURNER , GARY WILLIAM 2008 0812 - 864355 0809 - 968492 Release 12178 HARRIS , THELMA MARGARET 2008 0811 - 855522 0808 - 965028 Overpayment 21533 GARRETT , ALENE MASSENBURG 2008 0812 - 860798 0809 - 976407 Release 18804 Real Personal Property Releases GENES GARAGE INC 11 17 2008 10 33 12 105 SHEILA 2008 - 030499 2000103341 12628 STEPHENS , MICHAEL LARRY 11 21 2008 14 36 59 121 CATHY 2004 - 071384 2000092031 47915 STEPHENS , MICHAEL LARRY 11 21 2008 14 39 12 121 CATHY 2005 - 073286 2000092031 51908 STEPHENS , MICHAEL LARRY 11 21 2008 14 40 39 121 CATHY 2006 - 075374 2000092031 59096 STEPHENS , MICHAEL LARRY 11 21 2008 14 41 57 121 CATHY 2007 - 077460 2000092031 59096 STEPHENS , MICHAEL LARRY 11 21 2008 14 43 45 121 CATHY 2008 - 079898 2000092031 59096 RODRIGUEZ , JESUS 11 26 2008 9 54 26 105 SHEILA 2008 - 201806 2000143755 13968 YOUNG , CHARLIE B 11 26 2008 10 03 12 105 SHEILA 2008 - 201873 99640937 11225 GALE , IAN M 11 26 2008 10 04 26 105 SHEILA 2008 - 029968 2000114971 26880 PENN COMPRESSION MOULDIN 11 26 2008 10 41 14 105 SHEILA 2008 - 200233 69386011 11951 PENN COMPRESSION MOULDIN 11 26 2008 10 44 08 105 SHEILA 2008 - 200235 69386011 1,21826 PENN COMPRESSION MOULDIN 11 26 2008 10 46 06 105 SHEILA 2008 - 200236 69386011 77559 KAD INCORPORATED 11 26 2008 11 35 44 105 SHEILA 2008 - 045945 2000120550 17974 HUFFMAN , PHILLIP C 11 26 2008 12 38 46 121 CATHY 2008 - 501102 2000134646 11502 BAREFOOT , MICHAEL 11 26 2008 15 10 05 105 SHEILA 2008 - 005818 2000131911 17870 ASHWORTH , TAMMY 11 26 2008 15 17 19 105 SHEILA 2008 - 501017 2000143053 13718 MEDA STAT USA LLC 11 26 2008 15 27 28 121 CATHY 2008 - 200944 2000141186 1,26767 MEDA STAT USA LLC 11 26 2008 15 36 19 121 CATHY 2008 - 200944 2000141186 9276 JONES , KENNETH RAY 12 2 2008 9 09 46 105 SHEILA 2008 - 045069 2000019301 4,43045 CROSSROADS DEVELOPMENT 12 2 2008 15 18 39 105 SHEILA 2008 - 020586 2000026810 18743 CROSSROADS DEVELOPMENT 12 2 2008 15 20 07 105 SHEILA 2008 - 020599 2000096634 11726 SMITH , SUSAN L 12 2 2008 16 24 43 121 CATHY 2008 - 077330 2000054893 1,63982 PARRISH , LLOYD MAYLON JR 12 3 2008 13 20 16 105 SHEILA 2008 - 064915 67756720 75994 CLAYTON CIVITAN CLUB INC 12 3 2008 13 21 30 105 SHEILA 2008 - 096877 2000069912 22163 CLAYTON CIVITAN CLUB INC 12 3 2008 13 23 04 105 SHEILA 2008 - 095637 2000069912 67254 SHILOH BAPTIST CHURCH 12 3 2008 13 24 48 105 SHEILA 2008 - 075832 2000089666 22,68115 FIRST PRESBYTERIAN CH 12 3 2008 13 26 09 105 SHEILA 2008 - 028280 30390260 24368 PARKER , JOSEPH E 12 3 2008 13 27 44 105 SHEILA 2008 - 064135 66603080 1,11254 PARDEW , YVONNE 12 3 2008 13 29 14 105 SHEILA 2008 - 063704 2000133560 92225 MULLEN , JOHN T 12 3 2008 13 30 30 105 SHEILA 2008 - 060104 2000051070 70471 MILLARD , ROBERT G 12 3 2008 13 32 31 105 SHEILA 2008 - 057961 2000108777 1,42393 NEWSOME , HAZEL LIFE ESTATE 12 3 2008 13 33 56 105 SHEILA 2008 - 061454 2000131359 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67013 SHERMAN , GREGORY SCOTT 12 9 2008 12 25 28 105 SHEILA 2008 - 200051 2000137522 68658Page162 January 5 , 2009 – 10 00 am Continued Real Personal Property Refunds BAILEY , ALPHUS CURTIS 11 17 2008 10 56 46 9999 FATS 2008 - 094869 2000135917 22500 BRISSON , DOMINIQUE KURTZ 11 17 2008 10 57 05 9999 FATS 2008 - 011407 2000120580 2,34648 BLACKMON , JAYME 11 17 2008 10 57 11 9999 FATS 2008 - 009120 2000125694 40942 RAYNOR , DANNY B 11 17 2008 10 57 29 9999 FATS 2008 - 070095 2000034305 15615 NAGY , MICHELLE DIANE 11 17 2008 10 57 33 9999 FATS 2008 - 060589 2000126371 1,04486 SMITH , STEVEN D 11 17 2008 10 57 48 9999 FATS 2008 - 077325 2000015519 1,22957 HALES , BARBARA MITCHELL 11 17 2008 10 58 28 9999 FATS 2008 - 033637 2000020293 1,12271 SUTTON , JAMES H 11 17 2008 10 59 26 9999 FATS 2008 - 082037 2000032851 89548 SUPERIOR HOMES OF JOHNSTON 11 17 2008 10 59 36 9999 FATS 2008 - 094908 2000135968 15000 WOODARD , ALLEN BRUCE 11 17 2008 11 00 04 9999 FATS 2008 - 092876 98319120 1,56339 MARINO , MELISSA JEAN 11 17 2008 11 01 21 9999 FATS 2008 - 053575 2000085798 1,44421 HANEMANN , BENJAMIN P 11 17 2008 11 01 35 9999 FATS 2008 - 034167 2000122744 1,09926 WEST , CHRISTOPHER M 11 17 2008 11 02 05 9999 FATS 2008 - 088872 2000132374 12000 BLS INC 11 17 2008 11 02 57 9999 FATS 2008 - 094761 2000106172 1,75860 BUSSARD , AARON CHARLES 11 17 2008 11 04 13 9999 FATS 2008 - 013227 2000034643 21279 CORBETT , JOHNNY 11 17 2008 11 08 31 9999 FATS 2008 - 018681 2000032513 18159 HARPER , RUTH M 11 17 2008 11 09 16 9999 FATS 2008 - 034646 2000049062 73211 HILL , SHAMEEKA 11 17 2008 11 11 19 9999 FATS 2008 - 036737 2000132239 1,66901 TAYLOR , JOSEPH BROWN 11 17 2008 11 13 31 9999 FATS 2008 - 082945 87179095 67980 ROBERT EUGENE BURGHER 11 17 2008 11 13 44 9999 FATS 2008 - 071801 2000121428 86763 STRINGFELLOW , RICHARD 11 17 2008 11 13 49 9999 FATS 2008 - 081446 2000103196 1,19347 MAGEE , TIMOTHY ALAN 11 17 2008 11 14 26 9999 FATS 2008 - 053206 2000043827 1,62978 MELTON , ALFRED L 11 17 2008 11 16 19 9999 FATS 2008 - 057401 2000128486 1,05458 KLUTS , MICHAEL 11 17 2008 11 18 15 9999 FATS 2008 - 047275 2000116999 1,15553 LEE , JONATHAN 11 17 2008 11 18 41 9999 FATS 2008 - 050422 2000135030 83688 GREGORY , GORDON L 11 17 2008 11 21 36 9999 FATS 2008 - 032795 2000043644 1,25069 MCCOY , MILTON E JR 11 17 2008 11 21 37 9999 FATS 2008 - 055541 2000043328 1,88520 TURNER , AMBER R 11 17 2008 11 22 18 9999 FATS 2008 - 085273 2000107025 1,48568 MULLINS , JUSTIN 11 17 2008 11 22 30 9999 FATS 2008 - 060117 2000084229 1,36374 MINZENBERGER , EDWARD JAME 11 17 2008 11 23 20 9999 FATS 2008 - 058297 2000074431 80520 STEVENS , CHAD E 11 17 2008 11 23 20 9999 FATS 2008 - 098238 2000137956 1,05811 ROY , DAVID L 11 17 2008 11 23 32 9999 FATS 2008 - 072917 2000052311 66543 FAIRBAIRN , FRANK A 11 17 2008 11 24 30 9999 FATS 2008 - 027477 2000068490 1,07171 LOYD , DANNY 11 17 2008 11 25 21 9999 FATS 2008 - 052705 2000054812 21294 GARCIA , MARTIN E 11 17 2008 11 25 22 9999 FATS 2008 - 030110 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25 47 121 CATHY 2008 - 201912 2000054893 80172 WESTBROOK , MICHAEL SCOTT 12 3 2008 9 21 13 338 ALLISON 2008 - 089052 2000073272 1,36673 SON LAN DEVELOPMENT CO INC 12 3 2008 9 25 19 338 ALLISON 2008 - 097723 2000088087 21471 BAGLIORE , CHRISTOPHER JOHN 12 3 2008 9 28 58 338 ALLISON 2008 - 003919 2000117496 84556 CORBIN , BILLY G 12 3 2008 14 57 17 9999 LOCKBOX 2008 - 018721 2000082375 19049 PEEDIN , JANICE G 12 3 2008 14 57 39 9999 LOCKBOX 2008 - 065755 2000134540 14807 BYRD , DONALD EUGENE 12 3 2008 14 57 44 9999 LOCKBOX 2008 - 013483 15574140 16006 AUSTIN , JAMES FRANKLIN 12 3 2008 14 57 53 9999 LOCKBOX 2008 - 003422 2000079271 19410 WHITE , JOYCE H 12 4 2008 12 56 05 9999 FATS 2008 - 089412 2000074385 43500 SESSIONS , JOSEPH HARDY & 12 4 2008 12 56 12 9999 FATS 2008 - 075412 2000058112 11860 FLOYD , ANDREW JR 12 4 2008 12 56 13 9999 FATS 2008 - 028728 2000120278 84635 HOLMES , CHARLES W 12 4 2008 15 47 00 165 JAN 2008 - 038406 2000118330 29249 SATTERFIELD , ROBERT N & 12 5 2008 14 42 30 9999 LOCKBOX 2008 - 074446 2000055536 1,61383 SON LAN DEVELOPMENT CO INC 12 8 2008 10 35 29 165 JAN 2008 - 097746 2000088087 23889 SON LAN DEVELOPMENT CO INC 12 8 2008 10 37 05 165 JAN 2008 - 097742 2000088087 31122 SON LAN DEVELOPMENT CO INC 12 8 2008 10 37 46 165 JAN 2008 - 097739 2000088087 23133 SON LAN DEVELOPMENT CO INC 12 8 2008 10 39 40 165 JAN 2008 - 097708 2000088087 24276PagePage pageNumber6164 January 5 , 2009 – 10 00 am Continued SON LAN DEVELOPMENT CO INC 12 8 2008 10 40 51 165 JAN 2008 - 097701 2000088087 23301 SON LAN DEVELOPMENT CO INC 12 8 2008 16 53 17 165 JAN 2008 - 097744 2000088087 24083 WATKINS , DANNY P SR 12 9 2008 15 26 35 165 JAN 2008 - 087795 2000027978 23696 GOLDEN PROPERTIES OF NC INC 12 9 2008 16 03 14 165 JAN 2008 - 096402 2000097823 25368 WHITE , JOYCE H 12 10 2008 9 36 29 338 ALLISON 2008 - 089412 2000074385 43500 JACKSON , PAULA E 12 10 2008 11 19 14 121 CATHY 2008 - 041107 2000100202 22880 KATH , LOIS S 12 10 2008 15 00 49 9999 LOCKBOX 2008 - 046066 2000111131 43669 JOHNSON , WADE H 12 10 2008 15 10 33 338 ALLISON 2008 - 044268 47121061 10941 LANGDON , JEROME 12 12 2008 11 02 40 319 JACKIE 2008 - 048528 51228260 20495 COHEN , ALAN S 12 12 2008 16 02 49 103 DENNIS 2008 - 017710 2000133626 1,22311 CLEVELAND SPRINGS LLC 12 12 2008 16 05 51 9999 LOCKBOX 2008 - 017005 2000111591 50522 SHIPWASH , F STEVEN 12 15 2008 14 53 29 9999 LOCKBOX 2008 - 075859 2000006878 70684 BAREFOOT , ANGELA L 12 15 2008 15 30 14 9999 FATS 2008 - 005495 2000130145 1,17711 WOODARD , BRUCE ALLEN 12 15 2008 15 30 14 9999 FATS 2008 - 092876 0098319120 1,56339 HARPER , RUTH M 12 15 2008 15 30 16 9999 FATS 2008 - 034646 2000049062 73211 BOETTINGER , RICHARD G 12 15 2008 15 30 17 9999 FATS 2008 - 009611 2000123808 1,66646 GEMBERLING , CHRISTOPHER 12 15 2008 15 30 17 9999 FATS 2008 - 030494 2000118401 1,58029 WIGGINS , TRAVIS 12 15 2008 15 30 18 9999 FATS 2008 - 090076 2000087206 88191 SHEDRICK , CLINT E 12 15 2008 15 30 18 9999 FATS 2008 - 075623 2000091124 1,54297 BARNES , TIMOTHY OUTLAND 12 15 2008 15 30 18 9999 FATS 2008 - 006445 2000085514 86224 FITZGERALD , JEFF A 12 15 2008 15 30 20 9999 FATS 2008 - 028392 2000101398 1,41436 JDG INVESTMENTS INC 12 15 2008 15 30 21 9999 FATS 2008 - 041614 2000103568 36698 LIVAUDIAS , DENISON MCCORD 12 15 2008 15 30 21 9999 FATS 2008 - 052109 2000118465 1,67504 FALARO , JENNIFER I 12 15 2008 15 30 21 9999 FATS 2008 - 027621 2000116200 87686 STEWART , SANDRA M 12 15 2008 15 30 21 9999 FATS 2008 - 080804 2000079992 55924 PARRISH , ANDY A 12 15 2008 15 30 21 9999 FATS 2008 - 064626 0067207080 32326 HARRIS , VICKIE L 12 15 2008 15 30 21 9999 FATS 2008 - 034879 2000107543 48762 STANLEY , BOBBY H 12 15 2008 15 30 22 9999 FATS 2008 - 079306 82332754 14380 WELLS FARGO BANK TR CITIGR 12 15 2008 15 30 22 9999 FATS 2008 - 088680 2000133998 88568 DIXON , ANDREW L 12 15 2008 15 30 23 9999 FATS 2008 - 023631 2000128126 79994 GOLDEN PROPERTIES OF NC INC 12 15 2008 15 30 24 9999 FATS 2008 - 096409 2000097823 27435 CARROLL CONSTRUCTION HOM 12 15 2008 15 30 24 9999 FATS 2008 - 097484 2000114128 24738 SWEAT , LARRY E 12 15 2008 15 30 25 9999 FATS 2008 - 082132 2000078995 1,64050 SOON , HERALD 12 15 2008 15 30 25 9999 FATS 2008 - 077978 2000107697 1,07661 JONES , COLONEL WHITEHURST 12 15 2008 15 30 26 9999 FATS 2008 - 044668 2000067565 1,11895 STOPCHICK , ALEXANDER J 12 15 2008 15 30 26 9999 FATS 2008 - 081027 2000133944 1,32730 December 17 , 2008 This is to certify that , as authorized by the Board of Commissioners on December 11 , 2000 , I have approved the following tax releases and refunds under 100 , as recommended by the County Tax Administrator , Pat Goddard A complete record of this information is on file in the County Finance Office Totals from 11 16 08 to 12 15 08 Tax refunds - Personal Real Property 72557 Tax releases - Personal Real Property 69576 Motor Vehicle releases refunds 6,31748 Recommended by Tax Administrator Pat Goddard Approved by Finance Officer John R Massey 3 Public Comments None 4 Recognition of Nursing Home Adult Care Home Community Advisory Committee Chairman Wade M Stewart called on Mr Jimmy Parker , Chairman of the Johnston County Nursing Home Adult Care Home Community Advisory Committee CAC to address the Board Chairman Stewart stated the CAC is a very important group to Johnston County in that they serve as the ambassadors for the Board of Commissioners to ensure the nursing homes and adult care homes of Johnston County function properly Mr Parker thanked the Board of Commissioners for allowing the CAC to appear and discuss their purpose Mr Parker stated the CAC is comprised of very devoted members and he appreciated the opportunity for them to be recognized He informed the Board that currently there are 22 active members serving on the committee Mr Parker recognized two long serving members , Ms Irene Benson who has served 21 years , and Ms Harriett Creech who has served 17 years PagePage pageNumber7165 January 5 , 2009 – 10 00 am Continued Mr Parker reported in Johnston County , there are four nursing home facilities with a resident capacity of 570 , 11 assisted living facilities with a resident capacity of 574 , and two family care homes with a resident capacity of 12 for a total of 17 facilities with a total resident capacity of 1,156 He stated the CAC visits all of the assisted living facilities and nursing home facilities a minimum of four times each year and the family care facilities are visited annually Mr Parker stated a visit can be conducted at any time there is a concern over a specific facility Mr Parker added the purpose of the visits are to ensure that all the facilities maintain the intent of the residents ’ bill of rights and that quality care is being provided He noted that generally , the findings of the CAC are good and the interviews with the residents have indicated their satisfaction with the facilities Mr Parker reported the CAC has developed a strategic plan of improvement focusing on five key areas which are membership , community education , community involvement , effective visitations , and reports He noted the CAC is already experiencing positive outcomes from the plan Mr Parker stated the CAC has attended a number of events across the County in order to educate the citizens as to their purpose Mr Parker informed the Board of the new five - star rating system the State has implemented for nursing home facilities He noted that out of 419 facilities in the State of North Carolina , 119 facilities received a one - star rating , which is considered to be well below average on the star rating scale , while 68 facilities received a two - star rating In Johnston County , only two facilities received a one - star rating while two other facilities received a two - star rating Mr Parker stated the results were disturbing to the CAC and more study will be done in the future to get a better understanding of the star rating system Mr Parker ended his presentation by inviting the Board of Commissioners to attend one of the CAC’s upcoming meetings and thanked Chairman Stewart for his involvement with the group in the past Mr Parker stated the CAC serves as advocates for the adult care home and nursing home residents in the County and he encouraged anyone to contact any of the members with concerns they may have Chairman Stewart stated it is very reassuring to know that not only are there State inspectors overseeing the facilities , but there are local volunteers such as the CAC members providing extra oversight and he sincerely appreciated all their time and efforts Chairman Stewart also thanked Mr Parker for his leadership on the CAC Commissioner Cookie Pope pointed out that there are residents that do not have family members overseeing their affairs and the CAC is the voice for those without family Commissioner Pope expressed her appreciation to the CAC members for their work Mr Parker agreed with Commissioner Pope that the CAC members are the advocates for those that have no family and he recognized the CAC’s Ombudsman , Carmelita Karhoff of the Triangle J Council of Governments , for her work with the committee Mr Parker stated Ms Karhoff’s guidance has been invaluable in helping the CAC address legal issues involving patient care Chairman Stewart stated the CAC has the full support of the Board of Commissioners and he encouraged them to continue with their work After further discussion , the Board presented Certificates of Appreciation to each of the current members on the committee , as follows Irene Benson Josephine Lee Harriett Creech Pamela Maynor Diane Dolese Lea Moore Carolyn Fields James Parker Max Gardner Dicky Parrish Deborah Gibbs Martin Pfinsgraff Patrick Goodrow Gladys Pilkington Ronald Hailey Brenda Shaw Dianne Heritage George Smith Eloise Cofield Hilliard Chad Thompson Paula Johnson Amanda Thompson Edna Keene Deborah Wall 5 “ State of the County ” Address by Chairman Wade M Stewart Chairman Wade M Stewart presented the following “ State of the County ” address PagePage pageNumber8166 January 5 , 2009 – 10 00 am Continued Good morning It is my privilege to provide the annual State of the County Address I would like to begin with mentioning some Board accomplishments during 2008 The Board has worked for many months on a Comprehensive Land Use Plan and we are expecting final adoption in early 2009 The Commissioners established the Veterans Services Advisory Board to better serve the needs of the nearly 12,000 military veterans of our County At very little cost to the taxpayers , we increased the number of courtrooms from five to seven As a result of the passage of the 2007 recreation bond , this year we are now seeing many positive results in community recreation The County received another bond rating upgrade from Standard & Poors in July 2008 In addition , the Board adopted Financial Policy Guidelines , which determine how we budget and plan for the future financially Finding ways to reduce and hopefully eliminate teenager driving injuries and deaths was a high priority of the Board in 2008 and will continue to be addressed in 2009 at a second public forum to be held in February or March of this year As a result of the Commissioners revising the bond sale schedule , the Cleveland and Corinth Holders area high schools are being built simultaneously They will be complete and opened on schedule in August of 2010 To show our continued support of Johnston Community College , we paved a significant portion of their deteriorating parking lot In 2008 , the Board approved mutual aid water agreements with Wilson County , Harnett County , and the City of Raleigh The County accepted the management and operation of the Benson and North Johnston EMS units at their request Now that I have covered some of the highlights of 2008 , I would like to move forward to 2009 We have been , and continue to be , in a nationwide recession and Johnston County citizens have been affected Many have lost jobs in the past year and are struggling to pay their bills Revenue from the property tax , sales tax , and permits are down and will continue to decline through this fiscal year County government will need to be leaner than ever before The County Manager presented financial adjustments in December 2008 , which we agreed to in order to prepare for the upcoming shortfalls in revenue I am afraid that it will not be enough I am asking every department in Johnston County to find ways to Conserve , Conserve , Conserve Preparation of the Fiscal Year 2009 - 2010 budget will be the toughest we have ever faced Why Residential construction is down 50 Growth in the ad valorem tax base is expected to be 3 , down from the normal 55 At the same time , depending on how we structure the existing debt service , that obligation could grow by 25 to 35 million It will be difficult to fund all of the requests in this County That includes County Government , Johnston County Schools , Johnston Community College , and the many non - profits we have supported in the past But , as always , we will consider each request seriously , and will do the very best we can I am optimistic about the future of Johnston County There is no doubt in my mind that we will continue to see growth in the commercial and industrial sectors I also believe that by mid - 2009 , we will see a bump in residential construction We have always been and will continue to be a business - friendly County , because we want Johnston County to grow PagePage pageNumber9167 January 5 , 2009 – 10 00 am Continued Johnston County is a great place to live , work , play and raise a family I have no doubt that it will be even better in 2009 as we continue to invest in job creation and education Together , we will help to make Johnston County a better place for our children and grandchildren The citizens of Johnston County deserve nothing less 6 Johnston County Schools – Current Expense Funds for FY 08 - 09 Chairman Wade M Stewart explained that the Board of Education , in making their budget request to the County Commissioners and in adopting their budget for Johnston County Schools for FY 2008 - 2009 , voted to move 1,351,727 from capital outlay to current expense Chairman Stewart indicated that the motion to adopt the County’s budget by the Board of Commissioners did not include the request by the Board of Education and therefore , the Board of Education is now formally requesting the County to begin sending the 1,351,727 in current expense funds to Johnston County Schools on a monthly basis Art Stanley , Director of Finance for Johnston County Schools , offered to answer any questions by the Board Commissioner DeVan Barbour moved the Board formally approve for the County to begin sending the 1,351,727 in current expense funds to Johnston County Schools on a monthly basis Commissioner W Ray Woodall seconded the motion , which carried by unanimous vote 7 Johnston County Schools – Request to Designate ADM Funds Chairman Wade M Stewart stated the Board had received a request from Johnston County Schools to designate State Average Daily Membership ADM funds for the Smithfield - Selma High School Band Room Auditorium Renovation project and also the Smithfield - Selma High School Aquatic Center Ann Williams , Associate Superintendent of Facility Services for Johnston County Schools , offered to answer any questions by the Board Commissioner DeVan Barbour moved the Board designate 184,76836 in State ADM funds to the Smithfield - Selma High School Band Room Auditorium Renovation project ; and further to designate 600,00000 in ADM funds to the Smithfield - Selma High School Aquatic Center Commissioner Tony Braswell seconded the motion , which carried by unanimous vote 8 Johnston County Schools – Discussion Concerning Traffic Improvements Near New School Site on Polenta Road Commissioner Cookie Pope noted that a traffic accident involving teenagers had recently occurred on Matthews Road at Polenta Road Commissioner Pope commented that with the construction of the new Cleveland high school on Polenta Road , she would encourage the Board of Education along with her fellow Commissioners to work diligently with the Department of Transportation on traffic improvements in the area Ann Williams , Associate Superintendent of Facility Services for Johnston County Schools , reported the plans for the traffic improvements at the new Cleveland high school on Polenta Road have been submitted to the Department of Transportation She stated that deceleration lanes along with turn - lanes are planned for the school and she noted the speed limit will be decreased on Polenta Road once the school is opened Ms Williams stated there may be some problems with vehicles trying to turn on to Polenta Road from the smaller surrounding roads and they are still in discussions with the DOT Commissioner Pope reiterated the need to ensure that everything possible is done to help avoid future traffic accidents Commissioner Tony Braswell expressed his concerns over students traveling from Barber Mill Road to the new Cleveland high school site and asked Ms Williams if she anticipated an increased volume of traffic coming from Barber Mill Road once the school opens on Polenta Road Ms Williams responded that until the school district lines are drawn it is difficult to project the anticipated volumes of traffic associated with new schools opening She noted that she does not anticipate there will be many problems due to the fact that many of the students are already traveling in the direction of the new Cleveland high school because they currently attend the West Johnston High School Ms Williams expressed her concerns with traffic issues on Cleveland Road Page0168 January 5 , 2009 – 10 00 am Continued Commissioner Allen L Mims , Jr asked if any other traffic studies had been performed with regards to improvements at the surrounding intersections near the new Cleveland high school other than the previously discussed deceleration lanes and turn lanes Ms Williams reported the DOT has proposed round - abouts to be installed ; however , she feels this is unacceptable Mr Williams stated Johnston County Schools has requested traffic signals be installed instead of round - abouts and discussions are ongoing 9 Emergency Services – Medicare Allowable Billing Rates Scott Blecke , EMS Division Chief for Johnston County , reported that on December 19 , 2008 , the Emergency Medical Services Advisory Board voted to recommend the Board of Commissioners approve for the County to begin charging 120 of the Medicare Allowable Billing Rates for EMS fees Mr Blecke explained that the EMS Advisory Board felt 120 was a more appropriate level rather than the recommended charges of 125 by EMS Management and Consultants , the County’s billing contractors for EMS charges Mr Blecke offered to answer any questions Commissioner Cookie Pope moved the Board approve for the County to begin charging 120 of the Medicare Allowable Billing Rates for EMS charges , effective January 1 , 2009 Commissioner Tony Braswell seconded the motion , which carried by unanimous vote 10 Social Services – Drop Out Grant and Positions Request Earl Marett , Director of Social Services , stated the Department of Social Services DSS has received a Dropout Prevention Grant in the amount of 150,000 from the Department of Public Instruction to provide additional funding for the Adolescent Parenting Program Mr Marett reported DSS has served hundreds of young women and their children since the Adolescent Parenting Program began in 1993 He stated that in 1993 at the program’s inception , there were 45 participants of which 16 went on to graduate , 3 drop outs and two second pregnancies He noted last year , there were 147 participants with 36 graduates , 12 dropouts , and five second pregnancies Mr Marett explained that the program provides childcare and transportation to allow the participants to continue attending school Mr Marett stated many of the graduates are moving on to post - education studies as well Mr Marett explained that in order to continue the program and in conjunction with the receipt of the 2008 Dropout Prevention Grant funding , DSS is requesting the Board’s approval of two additional social work positions for the Adolescent Parenting Program He stated when the grant funding is depleted , DSS will use available Temporary Assistance for Needy Families TANF funding to cover the expenses TANF funding is 100 Federal funding and requires no county match Mr Marett noted the request was presented and approved by the DSS Board on Tuesday , December 16 , 2008 Commissioner Tony Braswell commented that there appears to continue to be a problem with teen pregnancies , noting the increase mentioned by Mr Marett Commissioner Braswell inquired if Johnston County Schools offers a similar program Mr Marett agreed that the number of teenage pregnancies has increased ; however , he noted the population has also significantly increased since the program’s inception in 1993 Mr Marett stated he believes the Adolescent Parenting Program is one of the better programs that DSS offers in that it allows the teenage mothers to continue to go to school and go on to better things in life He noted that some of the graduates from the program have gone on to become attorneys , nurses , and dental hygienists Mr Marett reported approximately 60 of those that graduate go on to college and the program helps to prevent people from going into poverty He stated DSS works very closely with Johnston County Schools on the program Commissioner DeVan Barbour questioned why DSS has not been utilizing TANF funding all along to cover the additional needed positions Mr Marett responded that TANF funding is used for a variety of programs and can be applied to the two additional positions once the Dropout Prevention Grant funds are expended Commissioner Cookie Pope commented that even though Mr Marett reported TANF funding does not require a local County match , the program is funded by federal monies which are paid for with federal taxes that are paid by the citizens Page1169 January 5 , 2009 – 10 00 am Continued Chairman Stewart agreed with Commissioner Pope ; however , he noted that if the County does not take advantage of the Dropout Prevention Grant funds , those monies would be lost to the County and awarded to another area Commissioner Jeffrey P Carver stated that he sits on the DSS Board and he originally voted against recommending the two new positions ; however , he agreed with the Chairman that if the grant funds are not accepted to cover the two new positions in Johnston County , then they would be allocated to another County Commissioner Carver noted at times he has seen some overlapping of services and he encouraged DSS to continue to work with Johnston County Schools and the Partnership for Children on such initiatives Commissioner Jeffrey P Carver moved the Board approve two new social worker positions for the Adolescent Parenting Program to be funded with the Dropout Prevention Grant funds and once those funds are expended , to be covered by TANF funding Commissioner Tony Braswell seconded the motion , which carried by the following vote Ayes Commissioners Wade M Stewart , Allen L Mims , Jr , Jeffery P Carver , W Ray Woodall , and Tony Braswell Nays Commissioners Cookie Pope and DeVan Barbour 11 Social Services – Alice J Arnold Funding Earl Marett , Director of Social Services , stated in 1999 , the Johnston County Board of Commissioners awarded 30,000 to each of the Human Service Agencies from the Alice J Arnold Memorial Trust Fund The Department of Social Services DSS developed a policy as to how these funds would be utilized to assist rural poor school children of the County Mr Marett noted that DSS has been able to provide services to children under this policy that might have otherwise fallen through the cracks of the regular programs and services He reported the funding was exhausted prior to the close of FY 2007 - 2008 and if awarded an additional allocation , the DSS staff will continue to use the policy as a guideline for the use of funds Chairman Wade M Stewart noted the Board of Commissioners could choose to split the entire matured amount of interest earned 60,51360 between the Health Department , the Mental Health Department , and the Department of Social Services leaving the original principal amount At the inquiry of Commissioner Jeffrey P Carver , the County Manager and Mr Marett reported they would research the original source of the funding and provide that information to the Board Upon a motion by Commissioner W Ray Woodall , seconded by Commissioner Cookie Pope , and carried by unanimous vote , the Board voted to allocate the interest proceeds of the Alice J Arnold funding 60,51360 to be divided equally between the Department of Social Services , the Health Department , and the Mental Health Department , leaving the original principal balance of 52,000 in place 12 Health Department – Adjusted Clinical Fee Schedule Dr Marilyn Pearson , Health Director , requested the Board’s approval of the adjusted clinical fee schedule Dr Pearson explained the Commissioners approved the fee schedule in June 2008 ; however , the new Medicaid rates were not distributed until the fall The fee review committee reviewed and adjusted the Preventive Health Division clinic fees based on the new Medicaid rates Dr Pearson clarified that there are no changes to Environmental Health fees She stated the Health Board approved the adjusted fee schedule at their December 2 , 2008 meeting Upon a motion by Commissioner W Ray Woodall , seconded by Commissioner Cookie Pope , and carried by unanimous vote , the Board approved the adjusted clinical fee schedule , as follows Old Service Type CPT Code New Rates Rates Oral Evaluation lt; 3 D0145CH 3807 4721 Topical Fluoride Varnish D1206CH 1544 2038 Childbirth Classes S9442 1902 2519 Child Service Coord T1016 2174 2869 Denver Screening 96110 1013 1327 Health and Behavior 96152 0 0Page2170 January 5 , 2009 – 10 00 am Continued Hearing 92552 1828 2046 Hearing for Medicaid 92551 858 1125 Mat Health Home Visit T1001 8800 11616 MCC Initial Sub , HV T1017 2930 3868 Med Nutition Ther Int 97802 2472 2085 Med Nutition Ther Sub 97803 2185 2085 Mat Health Home Visit Free 99501F MOW Brief , Standard , Extended S9445 1650 2178 Parenting Classes not covered R W8205 9848 9848 PP NB HV Assess 99502 6900 7920 PP NB HB Epsdt 99501 6900 8197 Vision 99173 2247 2247 Initial PM lt; 1 year old 99381EP 9000 9000 Ages 1 - 4 years old 99382EP 9000 9000 Ages 5 - 11 years old 99383EP 9000 9000 Ages 12 - 17 years old 99384EP 9000 9000 99384FP 19435 16900 Ages 18 - 39 years old 99385EP 10350 9000 99385FP 19205 16700 Ages 40 - 64 years old 99386FP 22885 19900 Ages 65 + 99387 21500 21500 Periodic Med lt; 1year 99391 9000 9000 Ages 1 - 4 years old 99392 9000 9000 Ages 5 - 11 years old 99393 9000 9000 Ages 12 - 17 years old 99394EP 9000 9000 99394FP 16790 14600 Ages 18 - 39 years old 99395FP 16330 14200 99395EP 10350 9000 Ages 40 - 64 years old 99396FP 18170 15800 Ages 65 + 99397 17500 17500 15 Min Preventive Med Counseling 99401 10566 10566 30 Min Preventive Med Counseling 99402 13593 13593 45 Min Preventive Med Counseling 99403 10150 10150 60 Min Preventive Med Counseling 99404 11168 12480 30 Min Group Counseling 99411 3578 3578 60 Min Group 99412 1902 2171 Administration Interpretation 99420 3936 3936 STD & TB Control T1002 1950 2574 Blood Pressure Check Y2024 839 839 Old Service Type CPT Code New Rates Rates New Patient Minimal 99201 7142 8197 New Patient Prob Focused 99202 10712 12295 New Patient Low Complexity 99203 15235 17487 New Patient Comp Eval Mod Complx 99204 22377 25684 New Patient Comp Eval High Complx 99205 28090 32242 Minimal Service 99211 3928 4509 Prob Focused 99212 6547 7514 Low Complexity 99213 9046 10383 Detail Eval Mod Complx 99214 14045 16121 Comp Eval High Complx 99215 20445 20445 No Charge 99031 000 000 Emergency Walk IN 99058 1500 1362 Form Comp w o Visit 11111 500 500 Anoscopy 46600 6760 8991 Biopsy Skin 11100 9024 19737 Catheterization , Uretha 51701 6058 8611 Cessation Counseling 3 - 10 G0375 1172 1172Page3171 January 5 , 2009 – 10 00 am Continued Cessation Counseling gt; 10 G0376 2247 2247 Cutting Benign Lesion 11055 4763 4763 Debridement Abrasion 11040 3733 3733 Debrdement of Nails 11720 2440 3119 EKG 93000 2316 2861 Endometrial Biopsy 58100 10815 12661 Exc Benign Lesion 05cm or lt; 11400 9402 12474 ExcBenign Lesion 06cm - 1cm 11401 11289 14736 FB Removal Ear 69200 10179 13493 FB Removal Uncomp 10120 11062 14923 I & D Abcess Complex 10061 14814 19419 I & D Cyst Abcess - Simple 10060 8616 11097 I & D Hematoma 10140 12101 15455 Injection of a Lesion 11900 4315 5447 IV infusion - Add Hours 90781 4542 9402 IV Infusion - 1st Hour 90780 13562 13562 Joint Injection Large 20610 6157 7997 Joint Injection Medium 20605 4859 6468 MC Pelvic and Breast G0101 3400 4900 MC Prostate G0102 1800 802 Nail Exision 11750 17521 18996 Nasal Bleed Simple 30901 8531 11292 Nebulizer tx Initial 94664 1287 1477 Nebulizer tx Subsequent 94665 1397 3744 Pap Collection MC Q0091 1747 2956 Peak Flow 94150 1832 4383 Pulse 94760 206 236 Removal Cerumen inpact 69210 4072 5435 Removal Skin Tags 11200 6718 8269 O2 Therapy 94650 2000 4077 90 thin prep Non Medicaid 88142 3256 3736 Tympanogram 92567 2175 2414 Wart Treatment 17110 7927 10274 Colpo With Biopsy 57454 15104 17740 Old Service Type CPT Code New Rates Rates Colpo Without Biopsy 57452 10690 12431 Cryosurgery 57511 14205 16621 IUD Insertion 58300 7975 10029 IUD Removal 58301 9586 11344 Mirena J7302 40770 40770 Norplant Removal 11976 15768 158 Pills S4993 335 335 Paragard J7300 30900 35880 Additional Test 82952QW 630 732 Cholesterol 82465 699 699 Complete Urinalysis 81001QW 443 584 Dip UA 81003QW 414 414 GC 87081 1063 1063 Glucose 82947QW 876 876 Gram Stain 87205 1498 786 3 Hour GH 82951QW 1800 723 Handling Fee 99000 2232 2232 Hemoccult Single 82272 936 936 Hemoccult Stool Mulitple 82270 599 599 Hemoglobin A C 83036QW 1789 1789 Hep B Panel 80074 6000 6000 Hep C Panel 86803 2000 2000 Hgb 85018QW 436 436 Phlebotomy 36415 396 396Page4172 January 5 , 2009 – 10 00 am Continued Post Glucose Dose 82950QW 876 876 Stat Male Smears 87205 786 786 Strep Screen 87880QW 2113 2113 Urine Culture 87086 1488 1488 Pregnancy Test 81025 1017 1000 Varicella Titer 86787 1600 1600 Wet KOH Prep 87210 703 703 Immun Ing Admin 1unit 90471 2240 2240 Admin Fee lt; 8years sick 90465 2742 2742 Flu Vaccine gt; 3 90658 2500 3000 Hep A Vaccine 90632 5000 6105 Hep B Vaccine 90746 4500 6342 Twinrix A and B 90636 5000 7000 HPV 90649 14079 12960 Menactra 90734 10044 9700 MMR 90707 5788 5788 Pneumovax 90732 4000 4500 TB skin test PPD 86580 1500 1500 Prevnar 90669 8036 8039 Rabies Titer 90676T 7572 7572 Rabies 90675 15254 19800 Varicella 90716 10600 10600 Zostavax 90736 17400 18900 Aristospan 5mg J3303 182 182 Benadryl 50mg J1200 102 102 Bicillin J0570 4160 4160 Bicillin 6000000 J0560 2436 2436 Old Service Type CPT Code New Rates Rates Decadron J1100 015 015 Depo - Medrol J1040 1082 1361 Depo - Medrol 40 mg J1030 514 726 DepoProvera J1055 4860 6303 Epinephrine up to 1ML J0170 080 080 Insulin Reg J1820 463 463 Insulin Per 5 units J1815 060 029 IM Antibiotic Injection 90788 1984 1914 IV injection 90774 1984 6240 Kenalog 10mg J3301 179 179 Lasix 20mg J1940 059 046 Phenegran 50mg J2550 100 283 Rho - D Immune 90384 13068 13068 Rocephin J0696 248 283 Rpcephin 500mg J0715 600 460 Solumedrol 40mg J2920 500 262 Solumedrol 125mg J2930 500 345 Therapeutic Inj G0351 1830 1830 Therapeutic Inj 90782 1830 1830 Toradol 60mg J1885 300 072 B - 12 J3420 200 034 Xylocaine Lidocaine J2000 346 346 50 Dextrose 31203 200 Ace Bandage A6263 150 044 Cath Insertion Tray A4310 300 Irrigation A4323 325 325 Large Dressing A6253 756 756 Medium Dressing A6252 388 388 Small Dressing A6251 238 238 Sterile Tray A4550 2500 3479 Umspec Materials 99070 492 492Page5173 January 5 , 2009 – 10 00 am Continued 13 Health Care Partners – Virtual Hospital Presentation April Culver , Vice President of Governmental Affairs for Johnston Health , addressed the Board and stated the virtual hospital initiative is a collaboration of many agencies including the Johnston County Health Department and Emergency Services Department along with Johnston County Schools , Johnston Community College , and Johnston Health Ms Culver introduced the following individuals present who have been a part of the ongoing discussions Dr Marilyn Pearson , Johnston County Health Director Ms Kim Robertson , Director for Johnston County Emergency Services Mr Travis Scott , Shift Supervisor for Johnston County Emergency Services Dr Donald Reichard , President - Johnston Community College Mr Talbert Myers , Vice President of Continuing Education - Johnston Community College Ms Dee Dee Daughtry , Interim Vice President of Curriculum - Johnston Community College Ms Linda Smith , Health Sciences Department Chair - Johnston Community College Ms Susan Crisp , Health & Emergency Services Depart Chair - Johnston Community College Mr Kevin Rogols , Chief Executive Officer - Johnston Health Ms Ruth Marler , Chief Operating Officer - Johnston Medical Center Smithfield Ms Jackie Ring , Chief Operating Officer - Johnston Medical Center Clayton Ms Connie Grady , Director of Education - Johnston Health Mr Patrick Harris , Director of Emergency Services - Town of Smithfield Ms Culver reported healthcare careers are a growing industry in the County and the need for continued training is imperative Linda Smith , Health Sciences Department Chair for Johnston Community College , informed the Board that a virtual hospital uses simulation as a means of training She noted a virtual hospital is a “ mini - hospital ” that provides a state - of - the art training atmosphere along with high fidelity manikins allowing future healthcare workers to experience real life patient centered simulated scenarios in a safe environment Ms Smith outlined the following points for the Board Concept of a Virtual Hospital VH A “ mini - hospital ” that utilizes intensive sophisticated human simulators and blended learning for o Training and education o Continued competence o Recruitment o Retention o Improve Patient Outcomes o Strengthening Agency Relationships and shared costs o Emergency Preparedness Training and use as an alternative site for disasters Concept VH creates training and assessment simulation technologies including electromechanical human patient simulators capable of breathing , speaking , having heartbeats , pulses and even birthing of babies , allowing the user to simulate human physiology VH gives the entire team the opportunity to interact and manage all issues that arise in emergency situations and everyday practice Mission Provides hands on learning experiences in a safe and realistic environment to enhance patient safety , improve patient outcomes and the quality of care through the use of clinical simulation Connie Grady , Director of Education for Johnston Health , reviewed with the Board the following goals associated with the virtual hospital initiative Ms Grady explained that students in the clinical programs are not always able to experience the varied types of health related issues during training and the virtual hospital allows them more opportunities to do so Ms Grady stated the manikins can be programmed to provide training of thePage6174 January 5 , 2009 – 10 00 am Continued basic skills for all health care disciplines as well as the advanced specialty area skills Ms Grady added that a virtual hospital can be used to provide emergency preparedness training for the County Ms Grady also reported on the potential population that could be served by such a facility Goals Consistent student experiences and evaluation o Guaranteed practice and patient interaction and communication Enhance clinical competence and continued competence o Basic Skills to Specialty area skills o Access to critical thinking skills , performance and evidenced based medicine and nursing practice Improve patient outcomes , safety and quality initiatives in health care o Limited liability utilizing manikins o The Joint Commission supports enhanced safety and quality of healthcare by incorporating technology into healthcare education and practice settings Maximize partnerships and utilization of resources fiscal , technological and clinical sites Standardize competency to promote safety and quality patient care Recruit students into the profession and recruit clinical faculty Decrease nursing and healthcare shortages by addition of VH as a clinical site resulting in increased enrollments into programs Population served … Curriculum and Continuing Education students to include o Nursing o Imaging Radiography , Sonography , Interventional Cardiac and Vascular Technology o Medical Assisting Medical Office o Paramedic , RN to Paramedic Bridge , and EMT o Nursing Assistant I and II o Critical Care Providers ; flight paramedic Current professionals from all disciplines Linda Smith addressed the Board again and reported on the following points Ms Smith explained there are constraints as to how many students can be accepted into the existing healthcare programs at Johnston Community College , due to mandates by the State Board of Nursing and the accrediting agencies She stated virtual hospitals have recently been approved as clinical sites by the State Board of Nursing which will allow increases in the enrollment numbers for the programs Johnston County Stats for personnel utilizing Virtual Hospital Johnston Health - 1000 clinical employees Johnston County Schools - 1000 Health Occupations Students , 160 utilizing the VH Johnston Community College 20 additional slots weekend RN program Implement LPN program 2011 Increase student retention by 10 Susan Crisp , Health and Emergency Services Department Chair for Johnston Community College , reported that from an EMS perspective , the virtual hospital would help to increase training opportunities for emergency medical technicians Ms Crisp stated the virtual hospital would allow paramedics to undergo training utilizing engineered experiences rather than having to wait on actual emergency scenarios in the field Ms Crisp pointed out that such engineered experiences would increase competency in paramedics Ms Crisp outlined the following information for the Board concerning the benefits of a virtual hospital VH Stats Johnston Community College Continuing Education EMS Certified Intensive Care Program - 90 - 120 students year 300 ALS BLS providers in county Paramedic Program RN Bridge - 83 students year NA I and NA II classes - increase to 300 year Add Geriatric Aide programPage7175 January 5 , 2009 – 10 00 am Continued Picture this … Through the virtual hospital experience , a paramedic student could initiate care of a simulator manikin using advanced skills , treat the patient , and transfer to a Registered Nurse in the emergency department setting Simulation includes interaction with critical care flight paramedics , nurses , surgical teams , and intensive care unit staff , in a safe and realistic environment Travis Scott , Shift Supervisor for Johnston County Emergency Services , informed the Board that a virtual hospital would allow more continuing education training opportunities for the local paramedics to stay current on their skills He noted paramedics are mandated to complete continuing education each year and the facility would provide a convenient setting in order to obtain those courses Mr Scott highlighted the areas listed below of the proposed facility plan which could be utilized in the continuing education process Mr Scott further stated Johnston Health has proposed the first floor of the Johnston Medical Mall for the facility which would support all the areas needed for training Mr Scott added that one important feature is the facility could be converted into a backup disaster center which could be utilized as a hospital in the event of a major disaster in the County Facility Plan Emergency Area Ambulance Bay Surgical Suite Patient Care Rooms , Adult and Pediatrics Critical Care Room Obstetric Room Mix of low to high fidelity manikins Ancillary Support Services o Pharmacy , Radiology , Lab , and Cardiology Simulation Control Debriefing Room Education Classrooms Office Space Patrick Harris , Director of Emergency Services for the Town of Smithfield , addressed the Board and stated the next step in the process is to begin an action plan He reported that in order to create the action plan , buy in from all involved agencies must be achieved He stated responsibilities must be addressed including appropriate staff for a virtual hospital along with exploration of funding opportunities as well as identifying an appropriate sit
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