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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
June 21, 2004
MEETING MINUTES
| ATTENDANCE |
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| Board of Health |
Byron McDonald |
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Ken Ponds |
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Jean Cook-Hughes |
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Jeffrey Mitchell |
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Larry Anderson |
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George Perrett |
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Ben Miller |
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| Public Health Department |
Heidi Oberlin |
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Kathy Ferguson |
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Brigette Reichenbaugh |
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Ted Havens |
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| Calhoun County Administration |
Greg Purcell |
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Jim Latham |
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Nancy Mullett |
| Guest |
Jill Wise, Regional Health Alliance/BCCF |
- CALL TO ORDER AND INTRODUCTIONS
Larry called the meeting to order at 8:00.
- APPROVAL OF AGENDA
- Remove Resolution 18: Agreement with Organizational Development
Solutions/ Joyce Brown
- Add Resolution 18-2004: 2003/2004 Budget Adjustments
- Add a resolution in opposition of separating Calhoun County from
the Kalamazoo County Metropolitan Statistical Area
- Add discussion regarding Senate Bill 189
Jeff supported. Mac seconded. All in favor.
- PUBLIC COMMENT
- PUBLIC HEARING
- Proposed Revision of Calhoun County Sanitation
Code
Ted stated that at the three public hearings held there were five
individuals/companies in attendance. All were in attendance were in
support of the revised sanitation code.
Motion to close the public hearing - Mac. Seconded by Jeff. Passed.
- CONSENT AGENDA
- May 17, 2004 Meeting Minutes
George moved to approved the consent agenda. Jeff seconded. Passed.
- RESOLUTIONS
- Resolution 12-2004 Approval of Revised Sanitation Code –
Jeff moved. Jean supported. Passed.
- Resolution 13-2004 Approval to hire Amy M. Upston at Step
2 – Heidi summarized the IUOE contract language indicating that the
Health Officer has approval to hire at Step 2 with BOH approval. She
also summarized Amy’s skills and experience. Ben moved. George
supported. Passed.
- Resolution 14-2004 Approval of Contract with CISD – Heidi
summarized the contract. Mac moved. Jeff seconded. Mac asked how
many nurses does this contract cover. Heidi stated that it is only
one nurse to cover the county. However, this nurse works in
collaboration with the Calhoun County hospitals and ISD early
childhood staff. Passed.
- Resolution 15-2004 Approval of Contract with the City of
Battle Creek for CDBG funds for the Nursing Clinic of Battle Creek –
This is an ongoing contract with declining funding but it provides
significant support. The City requires signing on July 1st at
meeting. The remaining salary comes from the federal grant, fees,
and donations. George moved. Jeff seconded. Passed.
- Resolution 16-2004 Approval of Contract with the City of
Battle Creek for CDBG funds for the Lead Abatement Program – Heidi
summarized the contract stating that last year we did not receive
funds. Mac moved. Jean supported. When the subcontractor(s) are
chosen by the County, additional contract language is required due
to the subcontracting status. Nancy indicated that she will get Ted
the language. George moved. Jean seconded. Passed.
- Resolution 17-2004 Approval of Amendment #4 with the
Battle Creek Community Foundation for the Minority Health
Partnership Special Project – the revised contract assures that the
state dollars are passed through as outlined. This contract is based
on the motion at the May 2004 BOH meeting to move forward with the
Minority Health Partnership relocation to the Health Department.
Board member asked for clarification about the BCCF funding and
funding for the MHP. Kathy clarified the MHP budget. Board member
asked about the non-increase in projected revenue from year to year.
There will be no direct cash outlay from the Health Department for
the MHP. Board’s concern is that if we don’t receive sufficient
support for the MHP, the county will be responsible. Greg P. stated
he understands the Board member’s concern, but at least we have
received a commitment from the BCCF through September 2008. George
stated that the fact is we shouldn’t wait until 2008 to obtain
grants in support of MHP. We need to start now in order to guarantee
a fund balance. We presume no increase in costs, which George feels
is probably not realistic. Let’s get the funding now. Board member
asked how they provide services for the entire county. Heidi stated
that Priscilla is very connected across the county and in Albion
with Harry Bonner. Many of the MHP grants are to sustain specific
projects (e.g., diabetes support groups in Albion and BC). George
moved. Ben supported. Passed.
- Resolution 18-2004 Approval of Agreement with Joyce
Brown, Ph.D. (Organizational Development Solutions) for Ongoing
Evaluation of CareSource – removed from agenda pending rewriting to
include details recommended by legal counsel. Mac and George asked
for clarification of the funding and the contract. Confirm there is
a 30-day-out clause. Heidi will distribute a copy of the contract
when complete.
- FINANCE REPORT
- Kathy Ferguson, Finance Officer
- May Financial Summary and Narrative
Kathy: The new budget is included in the May statements. We are
up-to-date on receipt of state funds. At this time, we show a gain
of over $100,000 however, we are not projecting a gain at the end of
the year. The last three pages (in gridline format), are how budget
amendments are presented. Kathy asked if the Board want to see
line-by-line detail, the budget adjustment format, or both? George
stated that he likes the format that is included in the June 2004
BOH packet. Agreed by other Board members.
The WIC $10,000 budget decrease was due to a decision by Burnham
Brook not to fund the program (they are doing the work internally).
The number of WIC clients we serve is approximately 4,330. The
largest growth of WIC clientele is in Albion.
Motion for approving the amended budget. Board member asked about
the budget adjustment paying the county. Jim clarified that it is a
transfer from our fund balance to the county, just as when the
Health Department is in deficit, the county transfers money to the
Health Department. There is approximately $150,000 remaining in the
Health Department fund balance, excluding NCBC funds. George asked
if we have any unrealistic reductions in expenditures to make the
bottom line balance. No. Kathy clarified that this is the first
budget adjustment for the fiscal year and does include all
adjustments in expenses and revenues. George motioned to approved
the amended budget. All in favor.
- OTHER BUSINESS
Health Officer’s Report:
- Environmental Health
- Revised Calhoun County Sanitation Code
- Update on Community Meetings (Enclosed with June agenda, as
mailed.)
See above, Resolution 12-2004.
- Minority Health Partnership
- Enclosed financial statements for 4 years out with June
Agenda, as mailed
- Letter from Brenda Hunt, BCCF President and CEO, enclosed with
June Agenda, as mailed
- See above, Resolution 17-2004. Mac asked for a copy of the MHP
Evaluation when complete.
- BOARD BUSINESS
- Bylaws Discussion -- Larry stated that we had
several discussions with the Advisory Board and the physicians about
the NCBC. Things are progressing smoothly. We will have discussions
with Nancy regarding further development of the bylaws.
- George: Metropolitan Statistical Area (MSA) issue.
Calhoun County is in the Kalamazoo MSA for purposes of receiving
healthcare funding. There is a proposal at the Federal level to
separate Kalamazoo and Calhoun County. This will have a dramatic
negative impact to hospital operations and to their community-based
hospital programs: approximately $5,000,000 for hospitals within
Calhoun County. George is proposing that the BOH support the
preservation of our relationship with Kalamazoo County and the
continuing integration. Nick Smith, Fred Upton, Mark Schauer, and Mike
Nofs should all be notified of this situation, too. Calhoun County is
not the only county affected. It is supposedly designed as a
cost-cutting measure, to reduce Medicare and Medicaid funding to focus
dollars specifically to population centers that need it more. There is
a larger population base in Kalamazoo, therefore, a higher funding
base for Kalamazoo and Calhoun when affiliated. Larry stated that both
hospitals have been working closely with the RHA, and that both
hospitals are taking a much broader look at community health rather
than individual. The Battle Creek Health System’s bottom line is $6M,
if they take out of $4.5M, they will not be able to step forward in
the community as much. The wage rate drives the MSA rate. Therefore,
Grand Rapids also petitioned to join the Kalamazoo MSA. Kalamazoo has
one of the highest wage rates in the region. Jeff stated that our wage
rates are based on Kalamazoo rates. If we take out the money, we will
have trouble keeping up with Kalamazoo wages (which are already 7%
higher). Therefore, we will have a much harder time maintaining
staffing, especially nurses. George moved that the BOH adopt a
resolution that be brought to BCHS and Oaklawn and all
representatives, that Calhoun County be opposed to a stand-alone MSA.
Also bring to the BOC. Ben supported. Passed.
Heidi and Larry will take a copy of the resolution to a meeting they
will be attending at Battle Creek Health System. Heidi will ensure
copies will be broadly distributed.
- Senate Bill 189 is the State’s proposed ban on
smoking in restaurants. Larry asked if the BOH wants to support it?
Two Board members do not want the BOH to support this legislation. The
City of Marquette tried this and was overturned in the State Supreme
Court. Smoking is legal, can we tell private property owners what to
do with their business. Another Board member feels that we should
support it as a public health entity.
- Heidi: Regarding the Minority Health Partnership,
the Health Department proposed moving MHP staff to the Health
Department this summer to begin that transition and was assured by BOH
members that this was understood.
- Greg Purcell informed members that the County
Commission has established a budget committee and was planning to meet
with BOH to discuss priorities and various issues. This meeting is
tentatively scheduled to follow the July BOH meeting.
The meeting was adjourned at 9:45 a.m.
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Several photos included in this 
