Board of Health Minutes

CALHOUN COUNTY BOARD OF HEALTH MINUTES

• The regular meeting of the Calhoun County Board of Health convened at 12 PM on May 19, 2011 in the Annex II Conference Room.  Those present: Susan Juilfs, Gary Nicholson, BJ Ukena, Dr. David Frate, two nursing students, Shelly Schossow, Kyle Fischer, Kari Prescott and Jane Condon.
• The agenda was accepted as distributed. 
• Motion by Nicholson, second by Ukena, all ayes to approve the minutes of Mar 17, 2011 meeting.
• Minutes of March and April 2011 Advisory Committee meeting minutes were reviewed.
• Kari Prescott, Webster County Health Department Director, presented service and fiscal reports for Calhoun County’s Maternal and Child Health / I-Smile programs 10/1/10 through 3/31/11.  Prescott explained state and federal rules required for reimbursement through the screening programs, in addition to available options that local health systems have to use the screening program to strengthen medical home partnerships and school health programs. 
• Kari informed members that she had filed an appeal to Iowa Department of Public Health regarding Webster County’s failed application to include Calhoun and Greene counties into her WIC program. 
• Kyle Fischer, Metro Waste Authority Mobile Program Coordinator, provided written stats and graphs of household hazardous waste deposits at the Calhoun County site in Calendar year 2010.  Fischer answered member questions regarding sharing with other counties and social marketing of the service.
• Members received copies of the most recent National Association of Local Boards of Health Newsbrief.
• Motion by Nicholson, second by Frate, all ayes to approve the proposed PTB Sellback requests for FY11.
• The Board reviewed regional and state salary surveys with comparable CCPH job descriptions.  Motion by Nicholson, second by Frate, all ayes to approve the proposed salary / wage adjustments for FY 2012.  The Board directed Condon to relay appreciation to all staff for persevering through this year’s downsizing activities.  Pay Range discussion will be added to the July meeting agenda.
• Members received copies of the Guide to the Iowa Department of Public Health and Health Care Coverage Under the Affordable Care Act (Kaiser Family Foundation).
• Board members received copies of the County Health Rankings booklet utilized in the most recent Community Health Needs Assessment.
• Juilfs signed Administrator Time Sheets for March and April 2011.
• Condon reported that the EMS building construction is proceeding on schedule and within budget at this point.  CCPH is recruiting local volunteers for development of a Medical Reserve Corps – 400+ mailings with return envelopes will be sent in the next few weeks – training will follow identification of the volunteer group.
• Service Priorities were tabled indefinitely until staff has time to research program design options for Maternal Child Health.
• Members were informed that 87 Tdap have been given to high risk individuals through the AmeriCares program.  IDPH has unofficially announced the availability of a training that will prepare CCPH staff to bill 3^rd parties for immunizations.
• Condon reported on Health Improvement Plan activities related to Preventing Injury and Promoting Healthy Behaviors: 1) Children’s Mental Health Week May 2 – 6 -- packets of materials to increase awareness in schools were delivered to each school system to be distributed by the school nurse to teachers  2) discussions between Condon and Director of Iowa’s Federation of Families for Children’s Mental Health will be utilized for future school and community trainings  3) 5 schools received Bicycle Safety Rodeos and 187 1st-graders participated  4) CCPH staff will meet with county-based librarians to discuss nutrition / activity programs for children during the summer  5) CCPH agreed to participate in an ISU Extension Service Nutrition grant application that targets families with young children with CCPH in-home visiting service staff as trainers
• The budget status was made available to Board members.  88.3% of the fiscal year is over:  expenditures = 79.8% and revenues = 76.2%.
• Having completed the agenda, with no concerns from members, the meeting was adjourned at 2:45 PM.

Jane Condon, Recorder

CALHOUN COUNTY BOARD OF HEALTH MINUTES

1.    The regular meeting of the Calhoun County Board of Health convened at 12:05 PM on March 17, 2011 in the Annex II Conference Room.  Those present: Susan Juilfs, Gary Nicholson, BJ Ukena, Jane Condon, Heather Bombei, and Shelly Schossow.

2.    The agenda was accepted as distributed. 

3.    Motion by Ukena, second by Nicholson, all ayes to approve the minutes of January 20, 2011 meeting.

4.    Minutes of January and February Advisory Committee meeting minutes were reviewed.

5.    Members received copies of the National Association of Local Boards of Health Newsbrief.

6.    Condon offered all expenses paid for any member who wants to attend the Iowa Public Health Conference in April.

7.    Juilfs signed Administrator Time Sheets for January and February 2011.

8.    Condon reviewed progress toward obtaining comparable job classification salaries from local, regional and state public health agencies and other health facilities.

9.    The Board was informed that Calhoun County Public Health was awarded 200 doses of Tdap for high risk adult populations through an AmeriCares project.  CCPH staff is making plans to promote the vaccine throughout the county.

10.  Shelly Schossow discussed Iowa Environmental Health Associations legislative priorities and program objectives for fiscal year 2011 with Board members.  The Board was informed that Shelly has been elected IEHA president for April 2011 – April 2012.

11.  Members were provided county-specific and state-wide reports on Breast and Cervical Cancer Early Detection Program over the past several years.  There are reports the program will receive less funding in the next fiscal year.

12.  The Board and staff spent the remainder of meeting time reviewing and discussing the Community Health Needs Assessment and Health Improvement Plan completed and submitted to Iowa Department of Public Health in February 2011.

13.  Service Priorities were tabled until next meeting.

14.  The budget status was made available to Board members.  66.7% of the fiscal year is over:  expenditures = 54.9% and revenues = 58.7%.

15.  There were no committee concerns.

16.  Having completed the agenda, with no concerns from members, the meeting was adjourned at 3 PM.

CALHOUN COUNTY BOARD OF HEALTH MINUTES

• The regular meeting of the Calhoun County Board of Health convened at 12:15 PM on January 20, 2011 in the Annex II Conference Room.  Those present: Susan Juilfs, BJ Ukena, Dr. David Frate, Leah Marxen, Gary Nicholson and Jane Condon.
• The agenda was accepted as distributed. 
• Motion by Marxen, second by Nicholson, all ayes to approve the minutes of Nov 18, 2010 meeting.
• Members received copies of Advisory Committee meeting minutes from November and December.
• Leisa Mayer, Calhoun County Central Point Coordinator for Mental Health Services, explained her job duties and current issues.  Possibilities for a telehealth site at Stewart Memorial Community Hospital for assessment and treatment services by the Berryhill Mental Health Center were discussed.
• The proposed Board of Health budget for FY 2012 was reviewed.  The Board of Supervisors will determine funds to be allocated for public health services beginning July 1, 2011.
• Members received information on newly appointed Miller-Meeks as Director for the Iowa Department of Public Health.
• Administrator Time Sheets were signed by the Chair.
• Members heard that the EMS building project’s architect held an open contractor meeting on January 18.  Contractor bids will be reviewed by the Board of Supervisors on January 25.
•  The Board was given copies of Iowa’s Score on Trust for America’s Health, Ready or Not 2009.
• Condon reported that the public health agency is in compliance with staff training as required by the National Incident Management System.
• The group discussed vaccine delivery options for adults and children.  Staff will write procedures to assure access to immunizations through appropriate use of public and private resources.  Rules associated with Vaccines for Children (VFC) program and available private insurance coverage will be followed.  Persons who do not qualify for VFC and with health insurance that covers vaccines, will be offered vaccines and charged an administration fee according to family size and household income.
• The Board approved a draft of the Community Health Needs Assessment and Health Improvement Plan.
• The budget status was made available to Board members – 50% of the fiscal year is over:  expenditures = 42.5% and revenues = 45.1%.
• Having completed the agenda, with no concerns from members, the meeting was adjourned at 2:30 PM

CALHOUN COUNTY BOARD OF HEALTH MINUTES

• The regular meeting of the Calhoun County Board of Health convened at 12:20 PM on November 18, 2010 in the Annex II Conference Room.  Those present: Susan Juilfs, BJ Ukena, Dr. Paul Knouf (telephone), Jane Condon, Shelly Schossow, and Tami Kinney.
• The agenda was accepted as amended. 
• Motion by Juilfs, second by Ukena, all ayes to approve the minutes of July 15, 2010 meeting.
• Members received copies of Advisory Committee meeting minutes from July, August, September, and October.
• Members were informed that Dr. Knouf has submitted his resignation as a member of the Board.  Suggestions were made for replacement.  New member Ukena agrees that he would value an orientation from our IDPH Community Health Consultant; Condon will coordinate.
• Condon reported that national and state efforts, as well as, Health Care Reform, continue to support Iowa Public Health Standards accreditation.
• Condon reported an invitation to participate in a state committee to draft legislation for the combination of IAC Ch 77 (Local Board of Health) and Ch 78 (District Health Departments)
• Members received copies of the most recent National Association of Local Boards of Health Newsbrief.
• Juilfs signed Administrator Time Sheets for July, August, September and October, 2010.
• Schossow reviewed with the Board the need for revised Septic installation rules and regulations to protect consumers from incompetent / non-compliant contractors.  Motion by Ukena, second by Knouf, all ayes to accept the revised Septic System Permit Policies and Procedures, set a contractor bond at $10,000, and draft Ordinance that requires Contractor Registration. 
• The Board heard recent and routine complaints received by staff related to poor local rental housing conditions.  General Relief and public health social work staff have been asked to develop a resource map for those who complain of poor living conditions and Schossow will research neighboring local and state environmental and public health agencies for remedies to similar problems.
• Members received reports on Strategic Plan action steps, all of which all are either completed or in progress; all are on track to be complete by January 1, 2011; year-to-date General Basic expenditures are approximately 3% under allowed appropriations for FY 2011. 
• Members received the agency’s FY2010 Annual Report.
• Condon reported that staff will be asked to discuss Paid Time Benefit procedures in the near future; nearly all staff has been assigned additional work which has changed their capacity to follow current guidelines.
• Staff reported on the status of the I-JOBS II grant for a new emergency response building, the Caretaker Agreement for the house and grounds at 2629 Norridge Ave, FY11 Public Health Preparedness Grant Workplan, and Condon’s participation in local and regional preparedness planning groups.
• The Board received service reports: seasonal influenza immunization activities, CCPH will be the sole provider of Vaccines for Children in Calhoun County, and achievement of 100% of Iowa’s Disease Surveillance Performance measure.  Staff plans to develop new child and adult immunization eligibility guidelines and fee scales by Jan 1, 2011.
• Condon reported on October activities of the Title V Maternal and Child Health Program as the project’s first month of operations.
• Staff reported that progress toward February 2011 submission of the local Community Health Needs Assessment and Health Improvement Plan continues on schedule.  The Board heard how reports from each local public health agency will be used to develop a revised format for the Healthy Iowans Plan. 
• Board members attended the credentialing award ceremony for the agency’s Family Foundations (in-home parenting) Program from 2 to 2:30 PM.
• The budget status was made available to Board members – 33.3% of the fiscal year is over:  expenditures = 30.5% and revenues = 29.8%.

Having completed the agenda, with no concerns from members, the meeting was adjourned at 3 PM.

Jane Condon, Recorder