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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
October 18, 2004
Meeting Minutes
ATTENDANCE
| Board of Health |
Health Department |
| Larry Anderson |
Heidi Oberlin |
| Jean Cook-Hughes |
Kathy Ferguson |
| Byron McDonald |
Dr. Harrington |
| Ben Miller |
Ted Havens |
| George Perrett |
Ginger Hentz |
| Ken Ponds |
Bob Overly, HD |
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Brigette Reichenbaugh |
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| Calhoun County Administration |
Guests |
| Greg Purcell |
John Bomba, Keck Consulting |
| Jim Latham |
Larry Pope, Property Owner |
| Nancy Mullet |
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- CALL TO ORDER AND INTRODUCTIONS
The meeting was called to order at 8:00 a.m. beginning with
introductions.
- APPROVAL OF AGENDA
Addition of Student Health Center fees discussion. Mac moved. Ken
Supported. All in favor.
- PUBLIC HEARING
Ted provided a summary to the Board of Health of the property in
question. Environmental Health (EH) evaluated two sites in July for
Mr. Pope. One site was approved, the other denied due to unacceptable
soil conditions. Ted distributed several depictions of the property
located on the south end of Lee Lake and described Lee Lake.
Mr. Pope, property owner, summarized his position. Mr. Bomba
provided drawings of the site and feels that the property requires
another look. He addressed the unsuitable conditions of the soil.
There is another area on the property that he feels meets the required
criteria. Shown in the diagram provided by Keck Consulting, the lot
line was changed to proposed lot line number 2. Perrett’s concern is
the property owners are not contesting the Health Department’s (HD)
original denial indicated as Health Dept. Test Pit on the diagram.
To clarify, Mr. Bomba and Mr. Pope agree that the original area
tested is not acceptable. Therefore, they have identified three
additional areas for the HD to test. George moved that the appeal of
the original HD Test Pit be denied. As part of that notion, EH will
revisit the site and inspect other areas designated as 1 and 2 and
will test one or two designated areas and make a decision. If a
further appeal be required, we will address that at another time. Ben
supported. Also, the owner of the property will clarify that the
proposed Lot Line 2 is acceptable. All in favor to deny the permit.
- PUBLIC COMMENT
- CONSENT AGENDA
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September 20, 2004 Meeting Minutes
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George moved. Ken supported. All in
favor. |
- RESOLUTIONS
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Resolution 31-2004 Approval of the
Community Action Agency of South Central Michigan Agreement for
Nutrition Education Services |
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Heidi summarized. This agreement
continues our commitment to provide nutrition services to this
organization. We had been funded at $8,000 for multiple years;
negotiations have now raised the amount to $12,740. George moved
approval. Ben supported. All in favor. |
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Resolution 32-2004 Approval of the
State of Michigan, Department of Environmental Quality Agreement
for FY 2004-2005 Water Supply |
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This is a continuation of our DEQ
annual contract. As documented in the resolution summary, the
contract amount is above original amount budgeted. Mac moved. Jean
supported. All in favor. |
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Resolution 33-2004 Approval of the
Michigan Family Independence Agency Agreement for the Teen
Parenting Program |
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This is an extension of our contract
with the FIA. We had difficulty this with contract last year
because it is an extension of an extension. However, Nancy
approved this extension saying that some language was changed.
George moved. Jean supported. All in favor. |
- FINANCE REPORT
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Kathy Ferguson, Finance Officer |
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September Financial Summary and Narrative |
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These are preliminary September year-end financial
statements. The HD continues to receive invoices for September and
predicts this to continue for several weeks. In addition, there
are bills and invoices that we are continuing to send out for
money owed to us. We don’t expect any changes in our expenses for
salaries and benefits. Additional expenses for supplies, capital
equipment, and contractual services--particularly for the Health
Communities Access Program (HCAP)--are still coming and will need
to be added to the financial statements. Perrett asked how the
financials will probably end up. Kathy stated that we expect to
zero out (income to equal expenses). Jim indicated that amounts
due to us from the state have not been finalized yet, and we have
also not made other accruals, such as for the Nursing Clinic of
Battle Creek (NCBC). We are still awaiting the tobacco settlement
dollars. Board member asked what dollars we are receiving from the
cigarette tax. Last year we received $58,577 from cigarette tax,
however, we are currently budgeting that we will receive $47,000
this year. This amount continues to increase slightly and
hopefully should actually be over $50,000. |
- BOARD BUSINESS
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Flu shot overview.
LifeSpan is the largest provider of flu shots within the County.
We target the very high risk population. We ordered 3,000 doses
from Aventis and received half of the shipment. Aventis stated
that we should expect to receive the additional 1,500 doses
anytime. We also received half of our allocation of free vaccines
for children (VFC Program). We retain several doses and distribute
others to pediatricians within the county. We can charge for
administration but not for the VFC vaccine. Clients within the
following categories (Medicaid, no health insurance, under insured
[health insurance but not covering vaccinations], or Native
American will receive the child dose. MacDonald asked what the
allocation/distribution plan is once we receive the additional
1,500 doses. Our plan will be driven by the mandates that specify
who receives the vaccine, or it is punishable as a misdemeanor.
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Student Health Center (SHC)
Fees – Kathy provided an overview of the requirements. We have
authority to set fees and authority to set a reasonable charge but
can not be more than cost. Nancy Mullett stated that new fees must
be presented in a public hearing, however, renewal fees do not
required a public hearing. Kathy summarized the services that we
provide and what we currently bill. We expect to bill Medicaid for
the SHC and the NCBC and Medicare for the NCBC. Kathy asked what
is required to bring to a public hearing. Nancy stated that once
she reviews the documents, she will provide feedback for the
public hearing. Kathy will contact Nancy Mullett to clarify the
materials Nancy has requested. |
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Update on the NCBC
Advisory Council – The majority of the meeting was spent
discussing the endowment fund with the Battle Creek Community
Foundation (BCCF). Brenda hunt and one of her staff members
presented a very ambitious but logical plan to further
implementing the endowment fund in order to decrease the
“obligation” on the fund development committee. |
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Evaluation Process –
Health Officer – Greg Purcell currently has a 360 evaluation
process with the Board of Commissioners. Greg asked Human
Resources to prepare a 360 degree evaluation that will be
distributed to random employees at the HD, board members, county
administration, and certain people in the community. The Review
Committee (Jean, Ben, and George) have received this evaluation.
Larry and George will get back with Greg. The Health Officer
contract has expired and should be presented to the BOC, however,
Greg would like to receive feedback/evaluations prior to BOC
review. Larry asked Greg to proceed in receipt of the BOH
comments. |
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Development Update –
Ginger summarized the development activity for the 2003-2004 FY.
Grant seeking is a team effort. We start with communications
between programs, both coordinators and administration and ginger
summarized the various roles within the HD in terms of grant
production. The Fund Development committee is responsible for
raising $88,000 for the NCBC. The Nursing Clinic of Battle Creed (NCBC)
is looking at endowments also in sustaining funding for the NCBC.
We just received word that the SHC funding was accepted. Ginger
asked if the Board sees any opportunities for funding for the HD
that we can take a lead on, it is appreciated if Heidi is
informed. Ken asked about the Obesity Prevention request and what
the concept behind this is? The Obesity Prevention was a grant
request from the Robert Wood Johnson Foundation. Yes, it was a
school-based initiative working with school and parish nurses.
Although it had a wealth of partners, such as the YMCA, in
developing programs within schools and community-wide, we did not
receive it. However, we did receive feedback in order for us to be
more competitive for the funds next year. This would have been a
million dollar project because of the dollar to dollar match. |
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Mac asked about the
withdrawal of the homeless coalition grant proposal. The Homeless
Coalition was looking for a coordinator. We sent them a proposal
and had several conversations with them, which then became aware
to us that they were looking for far more than they originally
asked for. The Health Screening for seniors was withdrawn because
of the amount of funding vs. the cost. The HD no longer found it
feasible to operate the program. In regards to the equipment and
training for the NCBC, MacDonald asked if there is a list of
requested equipment for the NCBC. Yes there is a list and we will
provide the list to MacDonald. The Nurse Family Partnership was a
local contribution and was withdrawn because the state did not
award us the grant; therefore this was a moot point. |
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Dr. Harrington – Shared
his concern about the shortage of the flu vaccine. |
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BOH Governance Update |
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Bylaws – Nancy made
corrections that were suggested. Larry proposed that the Bylaws be
on the agenda at the November 2004 meeting for approval. We need
the attachment A included for approval at the next meeting. |
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Policy Reviews: |
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Executive Limitation-2, Treatment of
Clients – Larry suggested adding a HIPAA law complaint law. What
about client survey aggregate results. For confidentiality, there
are signs and forms they receive. |
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Governance Process Review -2,
Governing Style – will be added to the next meeting agenda. |
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Board Staff Relations Review -2,
Unity of Control – will be added to the next meeting agenda. |
Meeting adjourned 9:50 a.m.
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Several photos included in this 
