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 Minutes Archive |
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Board of Health
Minutes
CALHOUN COUNTY BOARD OF HEALTH MEETING
190 East Michigan Avenue, Suite A-100, Battle Creek, MI 49014
February 23, 2004
Meeting Minutes
| BOARD OF HEALTH: |
Jeffrey Mitchell |
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Jean Cook-Hughes |
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Byron McDonald |
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George Perrett |
| HEALTH DEPARTMENT: |
Kathy Ferguson |
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Heidi Oberlin |
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Brigette Reichenbaugh |
| CALHOUN COUNTY: |
Nancy Mullett |
| |
Greg Purcell |
- CALL TO ORDER AND INTRODUCTIONS
The meeting was called to order at 8:20 a.m.
- APPROVAL OF AGENDA
Jeff moved. Ben seconded.
- PUBLIC COMMENT
- CONSENT AGENDA
▪ January 26 Meeting Minutes
The following revision to page four of the January 2004 minutes per
clarification from Nancy Mullett: The following four items should be
included in Board of Health meeting minutes: Time, date, and location
of meeting; Board members present; actions and motions taken; and
reason for a closed session. All meeting minutes should be kept on
hand for one year.
George motioned. Ben seconded.
- RESOLUTIONS
-Resolution 8-2004 Approval of Agreement with Baldwin Schools for
the Adolescent Health Center
Heidi summarized. Nancy indicated that she has not had the opportunity
to review the attachments and requirements. Therefore, suggested that
the approval is contingent upon her final approval. Mac moved. Jeff
seconded.
-Resolution 9-2004 Approval of CPBC Amendment #2
Heidi summarized. Further clarification on bioterrorism funds. George
moved. Mac seconded.
- FINANCE REPORT
▪ Kathy Ferguson, Finance Officer
◊ January Financial Summary and
Narrative
Kathy summarized the financial report and clarified why, at this
time, the Health Department is showing a loss. This loss is partially
due to the Baldwin contract approved today (we are providing services,
however, have not billed for these services). Budget adjustments are
required. Questions were raised regarding 1) the employee payout
figure; 2) dental and eye care services formerly provided by the
Nursing Clinic; 3) overtime and a plan to resolve; and 4) the
turnaround time for Medicaid payment. Kathy indicated that the
employee payout was a one-time item and measures have been taken to
avoid further employee payouts. Regarding dental and eye care
services, specifically NCBC patients are referred to other agencies
within the County. Regarding overtime at the NCBC, Heidi and Kathy
stated that the NCBC overtime has been addressed and a solution is in
process, partially to include hiring another part-time RN. Medicaid
payment turnaround time is approximately one month. The lag time from
date of service to the data of billing fluctuates depending upon time
of year (e.g., flu season typically causes a back up in billing).
- OTHER BUSINESS
Health Officer Report
▪ Nursing Clinic of Battle Creek (NCBC)
- Overview of Operational Requirements
Heidi summarized the NCBC operations, the federal report, and the
federal requirements. The federal report from the Primary Care
Effectiveness Review conducted in November has not been received as
of today. Heidi summarized federal regulations for the NCBC, as
previously mailed. The major improvement has been the addition of a
full time social worker who fills many of the gaps in required
services. Anthony Torres, NCBC Social Worker, is working with a
seasoned case manager from another Health Care for the Homeless
program who will review our practices and procedures and provide
suggestions. Another challenge has been pharmaceuticals. Vince
Kempinski, nurse practitioner, is working closely with Dr. Ptacin to
reduce these costs and streamline patient medications (both specific
prescription and quantity). Donated prescriptions received can be a
problem due to staff time to sort medications.
Heidi distributed a handout titled: “Uninsurance Facts &
Figures.”
- Based upon the discussion, members requested further information
as follows.
• Jeff requested for a NCBC demographic
breakdown/market share analysis by service line, population, payor,
five-year trends including staff and the population served.
• Jeff asked if there are any major health issues
where there is a hole in public health.
▪ Mac asked for an update on the Gentiva/maternal
infant health program.
▪ What are the health issues at schools (other
than BCCHS where there is the Student Health Center) and if there
are plans to address these health issues; and do we assess the
health of children within elementary schools (students that attend
school that aren’t fed, clean, tardy, etc.)?
▪ The Student Health Center does provide a much
higher level of service than school nurses. Within the HCAP program,
there is an important piece that will look at how to best measure
the health of elementary school children in terms that make sense to
both health and education professionals. Trends in health issues
will also be an expected outcome of these efforts. Board members
commented that they would like to see more effort put into the
health of children.
▪ School Nursing Contract Update
• Only Battle Creek and Athens have
not been returned to date.
Board Business
▪ Bylaws - Discussion
Bylaws and board policies discussion postponed until
the majority of BOH members are present.
- ADJOURNMENT
Meeting adjourned at 9:15 a.m. All in favor.
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Several photos included in this 
