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 Minutes Archive |
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Board of Health
Minutes
CALHOUN COUNTY BOARD OF HEALTH
MEETING MINUTES
DATE: April 21, 2003
Battle Creek, Michigan
PRESENT:
| Board of Health |
Larry Anderson, Chairperson |
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Jean Cook-Hughes, Vice Chairperson |
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Ben Miller, County Commissioner |
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Jeffrey R. Mitchell |
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George Perrett |
| Public Health Department |
Heidi Oberlin, Health Officer |
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Kathy Ferguson, Finance Officer |
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Ted Havens, Environmental Health |
| County Administration |
Greg Purcell, County Administrator |
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Nancy Mullett, Legal Counsel |
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Jim Latham, County Finance Director |
- Larry Anderson called the meeting to order at 8:10 a.m. in the
Public Health Department conference room, George W. Toeller Building,
190 E. Michigan Avenue, Battle Creek, Michigan.
- George Perrett moved to approve the agenda; seconded by Jeff
Mitchell. Approved unanimously.
- PUBLIC COMMENT – None
- CONSENT AGENDA
Moved to accept by Jeff Mitchell; seconded by Jean Cook-Hughes.
Approved unanimously.
- RESOLUTIONS
Res. 11-2003 Approve the Agreement with Evaluation and Measurement
Specialties extending the end date of the contract period from March 31,
2003 to December 31, 2003.
Per the memorandum, Heidi explained that this is simply an extension
of the current contract and that the timeframe is within the scope of
the project.
Approval moved by Jeff Mitchell; seconded by George Perrett. Approved
unanimously.
Res. 12-2003 Approve Contract with the Southwest Michigan Affiliate
of the Susan G Komen Breast Cancer Foundation, Inc., for an $11,000
grant for the “First Look” program.
Although this is not the amount requested in the grant proposal,
Heidi explained that we had initially been informed that Calhoun Co. was
not being funded for this program at all. Because of these funds, at
least 20 young women will receive screening and case management for
breast and cervical cancer. This program does not obligate Calhoun
County to provide treatment; it is through the contracts with community
partners and a special category of Medicaid that women qualify for
further diagnosis and treatment without financial barriers. There is
also no obligation to continue providing services to this population if
these funds are discontinued.
Approval moved by Jean Cook-Hughes; seconded by Jeff Mitchell.
Approved unanimously.
Res. 13-2003 For accounting purposes, authorize finance staff to set
up two new home business units: Bioterrorism and Teen Pregnancy
Prevention Partnership.
Kathy explained that although there is logic to combining
Communicable Disease and Bioterrorism funding as well as Great Choices
and Teen Pregnancy Prevention, each funding source (Michigan Department
of Community Health and Battle Creek United Way) requires separate
tracking. The funding amounts have not changed.
Approval moved by George Perrett; seconded by Jeff Mitchell. Approved
unanimously.
- FINANCE REPORT
Kathy Ferguson began by asking members if she was providing the right
amount of detail in her monthly financial report, explaining that she
could present it in any way the members wished, including revenues and
expenses by business unit. Members stated they liked both the financial
table and the narrative and wish no additional reporting on a regular
basis. She added that a budget adjustment would be presented to the
Board in June. Although there were significant budget cuts, layoffs have
been avoided through attrition and reassignment of staff to the Nursing
Clinic when possible.
Questions did arise regarding some large variances, particularly the
Nursing Clinic’s Dental program. Because of the previous arbitrary
division of funds and expenses between “Contractual” and “Dental” it is
not possible to compare those lines with last year. Kathy will report
further on these details, separating that business unit from all others
for the May Board of Health meeting. Members are also interested in the
cost per unit of service.
Jean asked why pre-employment physicals were no longer required.
Heidi explained that she was working to resolve this issue as she had
made the determination based on approval from the former Human Resources
Coordinator, Shelly Lehmann. Greg Purcell pointed out that part of a
County Policy requires new employees to have physicals. Heidi and Greg
will meet to determine the appropriate action.
- OTHER BUSINESS
- Health Officer Report
- Nursing Clinic of Battle Creek Update
Heidi explained that a Community Health Task Force has been convened
to explore the future of the Nursing Clinic with Heidi and Larry
Anderson representing the Public Health Department. As the transition of
the Nursing Clinic of Battle Creek to the Family Health Center has been
explored, it’s become clear that the Family Health Center of Battle
Creek’s priorities have been with financial stability of the Battle
Creek site as well as getting the Albion site going. They simply have no
time/funds for the Nursing Clinic at this time. The Task Force is going
to look at the Nursing Clinic as a community resource that requires
broad community support for its future direction. It is still a
possibility that the County will be the fiduciary for and employ the
staff of the Nursing Clinic. Heidi and Larry will keep the members
informed as the process evolves.
- Communicable Disease Report (Handout provided.)
The Communicable Disease Team’s contributions this past month were
highlighted. Heidi also provided a verbal update on Smallpox. Calhoun
County clinics for the Public Health and Hospital Response Teams are not
yet scheduled.
- Board Business
- Governance Policies and Procedures
Larry suggested that the Board have 2 -- ½ day retreat days for the
purpose of moving the Board toward the objectives as set forth in the
retreat. A facilitator will be contacted. There were no objections.
- Bylaws
The Bylaws included in the BOH mailing are outdated; Nancy Mullett
will ensure that Heidi gets the newest version. The current bylaws will
be sent out with the next Board packet.
- Sr. Millage/Prescription
Larry opened the discussion stating that the funds available for Sr.
Millage programs would be declining in future years while the costs of
medications was rising. Ben Miller stated that prescription coverage was
not part of the original plan as presented to voters; George Perrett
stated that the intent was to supplement the needs of the senior
population. It was suggested that there is a way to get
income-qualifying information in a respectful way that would demonstrate
fiscal responsibility.
Greg Purcell responded to questions about Sr. Millage prescription
program eligibility, the scope of the program, and the costs of the
program. Because of the rising costs, the prescription program is taking
a larger share of the available Sr. Millage funds.
Larry suggested that the Board not take action today; more will be
known by the next BOH meeting for a more informed discussion. There are
surveys out in the community now that will be reported to the Sr.
Millage Allocation committee on May 22. Ben stated that the Board of
Commissioners would consider the issue at its June 5 meeting.
- Other
Larry informed the Members that he attended a workshop sponsored by
NACCHO (National Association of City and County Health Officials) on how
to make strategic decisions about service delivery. Heidi, Kathy, and
Ginger also attended. The tools provided are very good and will be
useful.
- ADJOURNMENT
With no other business brought forth, Larry Anderson requested a
motion for adjournment at 9:35 a.m. Jeff Mitchell moved; Jean
Cook-Hughes seconded. Approved unanimously.
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Several photos included in this 
